Welcome to my practice and I look forward to meeting with you in person. Before getting started there are some important details regarding my practice that I need to convey to you. It is essential that you are well informed regarding the process of psychotherapy. I have organized the necessary information in 3 sections:
Required First Session Forms:
New Client Practice Policies (read only) & Acknowledgement (sign & bring)
Notice of Privacy Practices (read only) & Acknowledgement (sign & bring)
Client Information/Concerns Checklist
Optional First Session Forms:
Credit Card Form, please fill this out if:
- You would like to pay your fee or copay by credit or debit card
- You have an unpaid deductible for the year
- You have an out of state Blue Cross Blue Shield policy
Release of Information Form, please fill this out if you want me to speak to another professional regarding your treatment.
The Following questionnaires are extremely helpful should you suspect you have symptoms of Attention-Deficit/Hyperactivity Disorder, problems with Alcohol use, problems with prescription medication, manic-depressive disorder.