If you are a new psychotherapy client, please download, print, and complete the following three forms and bring them with you to our first session. Couples can sign one copy of the Disclosure Statement, but each partner should fill out a New Client Intake.
- Notice of Privacy Practices (PDF) (This form is for your purposes only, and does not have to be returned.)
- Disclosure/Terms of Service Statement (PDF)
- New Psychotherapy Client Intake (PDF)
If you are a new coaching client, please download, print, and complete the following two forms, along with the Notice of Privacy Practices above.
If you are engaging in psychotherapy or coaching with me via videoconferencing/telephone, or you plan to communicate with me via email or text message through mobile phone, please download, print and complete this form, along with the pertinent forms above.
If you are an IVF egg/embryo donor or recipient of IUI, IVF, or egg/embryo donation, please download and print the following form instead of the above Disclosure Statement and in addition to the Notice of Privacy Practices and New Client Intake.