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Helpful Forms

If you're a first-time client, please review and complete the following forms, and bring them to your first session.

  • Assessment Form
  • HIPAA /Privacy Notice

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

  • Release of Information Form

 If you are a couple wanting to pursue counseling services together, please complete the following form.

  • Gottman Couples Form

I have been told by my clients that sometimes the forms take a minute to appear on their computer, please be patient. 

Adult Assessment Form  
Children/Adolescent Assessment Form  
Alliance Release of Information  
Gottman Couples Form  
Alliance HIPAA  

Note: To download Adobe Acrobat Reader for free, click here.


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Helpful Forms

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