New Patient Forms

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):

• Consent for Telehealth 

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

Note: To download Adobe Acrobat Reader for free, Click here.