All new clients are required to fill out forms before our first appointment .  Please bring the completed forms with you to your first appointment.  If you are unable to download, print or complete these documents, please let me know so we can arrange for them to be filled out at the office prior to our first appointment.

Intake Questionnaire

Please fill out the intake client questionnaire.

Client Informed Consent

Read, print the last page, and sign

Privacy Statement

Read, print the last page, and sign


*Optional* Credit Card Authorization Form

If you are interested in paying for your visits with a credit card please fill out the option 'Authorization Form' below.   I also accept cash, check, Venmo, Paypal, or Zelle.