Getting Started

Helpful stuff for those who are about to start working with me.

Intake Forms

You may print, complete and sign the attached forms to expedite intake before your first visit.

Intake Form Informed Consent Privacy Policy

For Insurance Clients Only:

Verify Benefits

Help us verify the terms of your insurance coverage
  • Date Format: MM slash DD slash YYYY
  • Client Information

  • Insurance Information

  • Please read the back of your id card to find out if mental health is handled through some other insurance company.
  • This is located on the back of the insurance card. Look for a toll-free number that specifies Mental Health
  • Employee Assistance Programs (EAP)

  • This will be provided to you directly from your EAP provider
  • Client Contact Information

  • If possible, you may upload a copy of the front/back of your insurance card and/or driver's license here.
    Drop files here or
  • Section Break

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