Contact Directions Clients Forms My Practice
New Client Forms

Before arriving for your first appointment…
You will want to complete the appropriate forms on this page.

Please print, complete and bring them to your first appointment. If you are unable to complete the forms, please arrive at least 20 minutes early for your initial appointment so you can complete the forms at my office.

All clients must review and complete the three following forms:


If the client is 18 years or older, please complete:


If the client is younger than 18 years, please complete:


If the client is younger than 18 years, a parent/guardian should complete:


If an authorization for release of confidential information is needed, an adult client or a parent/guardian should complete: