WELCOME NEW CLIENTS
Thank you for choosing me to work with you and your family.

You can save time before your first office visit by printing, filling out and signing the required forms on this page. The Therapist-Client Services Agreement discusses information concerning my practice, financial arrangements, confidentiality and patients’ rights. The Intake Form provides contact and insurance provider information. And the North Carolina Notice explains the policies and practices used to protect the privacy of your health information. The optional Consent Form is to be filled out only if you wish for me to communicate with another care provider or professional, such as your medical doctor, prior therapist, or psychiatrist.

If you are coming in for a psychoeducational or psychological evaluation, complete the Evaluation Services Form in addition to the forms above.

These forms are important informational documents and are for you to keep. You will need to bring the signature page of the Therapist-Client Services Agreement and the Intake Form to your first appointment. I will be discussing these documents with you during your first visit, and will be happy to answer any questions you have at that time.


Viewing these printable PDF forms requires Adobe Reader. Most computers come pre-installed with this software. However, if you don’t have this software, or need a newer version, you can download Adobe Reader here.