If you plan to pay by credit card, please fill out and FAX the credit card authorization form at least 24 hours before your session.
Credit Card Authorization Form


If you have insurance:

First make an appointment. Then fill out this
Insurance Form

and bring it with you to the office.


Before your appointment, please call insurance company and find out your:

1. authorization number
2. co-payment
3. number of pre-authorized sessions
4. deductible
5. the insurance company's address for mental health claims
   

Please fill out the following two forms and bring them with you to the appointment.

1. Intake Form
2. Choose one of the versions below
   1. Personal History Form/Client Profile (.pdf version; requires the free Adobe Reader)
   2. Personal History Form/Client Profile (.doc version; requires Microsoft Word)
      

If you are having couples counseling, download this form but do not fill it out until your second session.

Couples Inventory (.pdf version; requires the free Adobe Reader)
Couples Inventory (.doc version; requires Microsoft Word)