If you're a new client, please complete the following forms and bring them to your first therapy session.
All forms are in Adobe Acrobat Format. You may click on the link below to download the newest version of Adobe Acrobat.
- New Client Intake Form - Please complete and bring with you on the date of your first session.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
- Authorization to Disclose Information Form - Please bring to office or mail to the address on the form.
WV DUI Safety & Treatment Program
Also check out the DUI Program Tab for more helpful information
- DUI Program Intake Forms - Please complete and bring with you to appointment
Note: To download Adobe Acrobat Reader for free, click here.