New Client Forms

If you are a new client, please download and print these forms, fill them out and bring them in to our first appointment. If we are using Tele-Psychology and you will not be coming in for your first appointment, then please email the completed forms to me at [email protected]

Billing Form

Disclosure Statement

Schedule of Fees 2024

HIPAA Statement

HIPAA Signature Form

Consent for Minor Child

Schedule Appointment

Start your new path in life and be the change today!

Click Here