Please download and complete the appropriate forms prior to your first appointment. Doing so will save time during your evaluation so that we can focus on your treatment needs right from the start. Everyone will need to fill out these two forms:

Personal Information

Your HIPPA Rights

If you are in treatment with a primary care doctor or other medical professional, or if there will be anyone else that you want me to contact about your treatment, please download and complete a release form.

Release of Information

If you are insured through United Behavioral Healthcare, then you can complete one of their Initial Wellness Assessments. I will go over the results with you at the first visit and then fax the form to UBH.

Adult Wellness Assessment

Child & Adolescent Assessment


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