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


  • 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.