Please read and complete the forms below before your appointment:
- Transpire Patient Registration
- Consent For Treatment
- New Patient History Form
- Notice of Policies/Practices for Privacy of PHI
- Billing and Cancellation Policy
- Adverse Childhood Experience
If you would like to participate in therapy sessions via telehealth, please read and sign this consent (for more information about telehealth, see our Common Questions page):
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:
Note: To download Adobe Acrobat Reader for free, Click here.