Forms

If you are coming to see me for psychological testing, consultation, or therapy, please download and complete one of the following packets. Bring it with you to our first session. If you are unable to complete the packet beforehand, I will have you fill it out when you arrive to the appointment.

DOWNLOAD Adult Intake Packet


DOWNLOAD Child Intake Packet (if patient is under 18)

If you are coming to see me for a court-ordered evaluation (for the 3rd District Juvenile Court), please also download the following form and bring it with you to the evaluation appointment.

DOWNLOAD Juvenile Court Evaluation Form


Release of Protected Health Information (PHI)

Please download and complete the following form if I will be consulting with other professionals regarding your treatment.

DOWNLOAD PHI Release Form