If you are a first time client, please print out, read and complete the following two forms. Be sure to bring them to your first session as we will review them at that time. I suggest you make a copy for your own records.

If you do not have a printer available, please let me know when you make your appointment and I will arrange to have the forms available at my office so you can complete them before our session.

MOST CLIENTS FIND A MINIMUM OF 15 MINUTES IS REQUIRED TO READ THROUGH ALL MATERIALS AND COMPLETE THE CLIENT QUESITONNAIRE. Please arrive early enough to finish. These forms provide information directly related to our work and your client rights. By signing, you agree to all the stipulations outlined in the document. READ BEFORE YOU SIGN.

Please contact me if you have any questions or concerns related to completing these forms.

PROFESSIONAL DISCLOSURES: (8 pages)
This document includes information about my education and credentials, financial agreements, insurance use, information about my practice, services and confidentiality. After reviewing, be sure to sign the last page which is entitled: "Consent to Treatment" I am required to have a copy of this last page in your office file.

If you have questions about any of these materials, do not sign until we have had an opportunity to discuss and address any concerns you may have. .

CLIENT QUESTIONNAIRE (5 pages)
Please complete and include any other information you believe may be helpful. There is place for your signature on last page.

THANK YOU!