If you are a new client, please complete the Client Intake Form and bring it to your first therapy sesssion.  

If you would like me to coordinate care with another provider (for example your psychiatrist, family therapist, primary care physician etc.), complete the Authorization to Disclose form to authorize release of psychotherapy information.   

If you will be submitting a receipt to your insurance for out-of-network provider reimbursement, please use the Billing invoice form. 

All forms:
Authorization to Disclose
Billing Invoice Form
​Client Intake Form​
Credit Card Authorization
​Disclosure Statement & Office Policy

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If you have any questions about completing the forms, please contact me at 206.450.9027. Thank you.

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