Helpful Forms



If you're a new client, please complete the following forms and bring them to your first session.



If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:



Additional information

Be prepared to describe your problem to your therapist providing much information as you can including how long the problem has been present.

  • Circumstances that may have led up to the problem
  • Information about your family of origin and early years in life.
  • Information about any trauma or abuse you may have suffered.
  • Whether you have sought counseling or therapy prior to this and the outcome of that therapy.
  • Things you have tried to help the problem so far, what worked, and what did not work.
  • Your strengths and positive attributes.
  • Your support network
  • Who is involved in your problem at the present or in the past?
  • Specific questions you have for your therapist about your problem.