Forms

These forms are here for you to download and fill out prior to your first appointment. Filling these out ahead of time will allow me to give you the best appointment experience possible.

Client Information Form

Authorization of Disclosure General Consent Form

Authorization of Disclosure General Consent Form 2

Cancellation Policy

Notice of Privacy Practices

Somatic Experiencing Informed Consent Form

Assessment Tools

Psychotherapy Assessment Checklist – this form is a very useful survey that gathers information helpful to your treatment plan. You can download it and fill it out prior to your first appointment.

Completing the following tests may also be useful to creating your treatment plan.

Sexual Compulsivity Assessment (G-SAST)

Alcohol Abuse Assessment (MAST)

Substance Abuse Assessment (DAST)