Client Forms

Getting Started

New Here?

Welcome! If we haven’t spoken yet, let’s schedule your free consultation.

Schedule Your Consultation

Already scheduled?

Complete your intake forms before your first appointment.

Complete Intake Forms

Self-Assessments

From time to time, I may ask you to complete one or more of these assessments to help us track symptoms, notice changes, and monitor progress over the course of your treatment.

The ACE Scale

Explores adverse childhood experiences and the possible long-term effects of early stress.

The Burns Depression Inventory

Looks at symptfoms related to mood, motivation, thinking, and day-to-day functioning.

The Burns Anxiety Inventory

Helps identify the intensity of anxiety symptoms across thoughts, emotions, and physical sensations.

Additional Forms

Session Agenda Form

Use this optional form before your session to note what you’d like to focus on.

Open Form

Credit Card Authorization

If you need to update your credit card information, use the button below.

Open Form

Release of Information

Use this form so I can communicate with others involved in your care.

Open Form