If you're a new client, please complete the following forms and bring them to your first therapy session.
- Adult Intake Form
- Child Intake Form
- HIPAA Notice
- Limits of Confidentiality
- Minnesota Disclosure Statement
- Wisconsin Disclosure Statement
- Cash Payment Contract
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.