Download Forms

You may download and fill out the forms below prior to your first appointment. If you would prefer to fill these forms out during your first session, I will have forms available on site.

Client Information FormPDFDOC
Notice of ConfidentialityPDFDOC
Professional Disclosure StatementPDFDOC
Insurance Information FormPDFDOC


As a licensed counselor, I am able to take most major insurance providers.

If you have questions regarding the outpatient mental health coverage of your policy, please contact my bookkeeper, Teresa, at For appointments, please conact us at