Client Intake Forms

In order to maximize the use of our time together at your initial appointment, please complete the relevant forms and send them to me before our first session.

You can sign these forms by downloading them and then opening them with Adobe’s Acrobat Reader (if you don’t already have this software, it’s free and you can download it here), and then typing your name, using an image, or by actually signing your name. Please email the completed forms to me at Click here for more information about electronically signing PDF forms.

Required Forms

Additional Forms

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
Release of Information

Please Note: If you’re a telehealth client in Florida, please be sure to review the information via the following link:

If you have any questions or concerns, please contact me for assistance.

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