If you would like to complete the forms before you arrive for the first appointment, you may download and complete the appropriate forms and bring them with you. If you complete them ahead of time, you do not need to arrive early.
- Client Contact Form: Client Info
- Wellness Questionnaire: Wellness Adult KCW
- Notice of Privacy Practices Acknowledgment: NPP Acknowledge2015.06
Insurance Forms if applicable:
- Consent Form: Insurance Consent (complete if you are using insurance or other payor)
- Insurance Claim Form: Ins Claim1500 (complete if you are using insurance or other payor)
I generally only provide in-person therapy in my office, however under certain conditions, telehealth such as video or phone sessions, may be an important temporary option.
- Telehealth Agreement: Telehealth Agreement
- Notice of Privacy Practices Policy (for your records): NPP-Notice Privacy Practices