Forms

Please print, review, fill out and bring the appropriate forms to your first session.  Forms specific to couples or to individuals are indicated as such.  When not indicated, it must be filled out by all.   Thank you for taking the time to fill the paperwork.  
 

Client Information - Couple (one form each)

 Client Information - Individual

Credit Card Authorization 

HIPAA Acknowledgement

Informed Consent

Permission to Videotape - Couples

Telehealth Consent

Burns Anxiety and Depression Checklist