Before our first session, please print, fill out and bring the following paperwork:

Adults

Click below for a .PDF document with the necessary paperwork.

  1. Information Questionnaire
  2. Psychologist-Patient Services Agreement
  3. Notice of Policies and Practices to Protect the Privacy of Your Health Information (HIPPA)

Children

Click below for a .PDF document with the necessary paperwork.

  1. Information Questionnaire
  2. Psychologist-Patient Services Agreement
  3. Notice of Policies and Practices to Protect the Privacy of Your Health Information (HIPPA)

TEENS

Click below for a .PDF document with the necessary paperwork.

  1. Information Questionnaire (Youth)
  2. Information Questionnaire (Parent)
  3. Psychologist-Patient Services Agreement
  4. Notice of Policies and Practices to Protect the Privacy of Your Health Information (HIPPA)