Preparing for Our First Session:


Welcome!  I am looking forward to working with you, and will do my best to provide a safe and productive relationship.  Before we begin, you must provide informed consent for treatment.


Click the link below, where you will find several forms to read and complete. These forms include information regarding my practice and general policies, any concerns you have, and your health and family history.  And finally, you will find important information regarding HIPAA (Health Insurance Portability and Accountability Act).


  • Print, complete and sign the Background Information (Section 2), Policies, Procedures, and Consent to Treatment (Section 3), Email and Texting Consent (Section 4), and HIPAA Notice of Privacy Practices (Section 5)
  • Determine method of payment
  • Bring drivers license
  • Bring insurance card
  • If using EAP, obtain authorization from insurance company with number of sessions approved
  • When seeing a minor child of divorced parents, I will need a copy of the divorce decree.


Bridging the Gaps in Relationships through Therapy