Forms

First-time client

Please read and fill out the forms below, and bring them to your first appointment. Looking forward to seeing you soon!

Registration Form

Professional Service Aggrement

Optional Forms​
If you would like me to communicate and coordinate care with another provider (your PCP or psychiatrist etc.), please complete this form to authorize release of psychotherapy information. 

Release of Information​​​​​​​​​​​​​​

Adult Checklist of Concerns

Child Checklist of Concerns

Note: I am a contracted therapist at The Center for Postpartum Family Health, supervised by the director of the center, Sherry J Duson, LMFT-S, LPC-S. All paperworks are associated and managed under the Center for Postpartum Family Health.