Please print out each of the forms listed below, fill them out, and bring them with you to your first session.
- Authorization to Release Information: This form is needed if you would like me to talk to your doctor, any other professional or family member about my work with you. A separate form is required for each person. You can either bring it with you to your next session, or fax it to my office at
- Credit Card Authorization: Please fill out this form to pay your bill using either a Visa or MasterCard. You may fill this form out and fax it to my attention at
- Request for Records: Please fill out this form if you would like to receive a copy of your records, or have them sent to another party. Records requests can take up to two weeks to process.