Office Documents

If you have made an appointment to see me, please download and complete the following documents which are all in PDF format:

Office Etiquette

•  Office Etiquette document.

Adults

• Print 2 copies of Disclosure Statement: Read and keep one for your personal records; initial and sign the other copy and bring to your first appointment.
• Print out a copy of the HIPAA Statement: Read and keep for your own records.
• Print out Adult Questionnaire Form: Fill out and bring to first appointment.

Couples/Families

• Print 2 copies of Disclosure Statement: Read and keep one for your personal records; initial and sign the other copy and bring to your first appointment.
• Print out a copy of the HIPAA Statement: Read and keep for your own records.
• Print out Families and Couples Guidelines. Fill it out and bring it to the first appointment.
• Print out Family & Couple Questionnaire Form: Fill out and bring to first appointment.

Children/Youth

• Print 2 copies of Disclosure Statement: Read and keep one for your personal records; initial and sign the other copy and bring to your first appointment.
• Print out a copy of the HIPAA Statement: Read and keep for your own records.
• Print out Child/Youth Questionnaire Form: Parents fill out and bring to first appointment.