Forms
01 — If you are a new psychotherapy client, please download, print, and complete the following forms and bring them with you to our first session. If we are working together online, please scan and email them back to me at least 24 hours ahead of our first session.
Notice of Privacy Practices (PDF) (For Review)
Disclosure/Terms of Service Statement (PDF) (Review, Sign, and Return)
New Psychotherapy Client Intake (PDF) (Complete and Return)
Somatic Experiencing® Informed Consent (PDF) (Review, Sign, and Return)
Telehealth Informed Consent (PDF) (Review, Sign, and Return- if we are working together virtually or via telephone)
E-Communications Disclosure Statement (PDF) (Review, Sign, and Return)
02 — If you are a new Somatic Experiencing® client, please download, print, and complete the following forms. If we are working together online, please scan and email them back to me at least 24 hours ahead of our first session.
Disclosure/Terms of Service Statement (PDF) (Review, sign, and return)
New SE® Client Data Form (PDF) (Complete form and return)
E-Communications Disclosure (PDF) (Review, sign, and return)
Somatic Experiencing® Informed Consent (PDF) (Review, sign, and return)