If you’re a first-time client, please review and complete the following forms before your initial session. For couples, each partner should fill out a separate client intake form.

Client Intake (Download)

Cancellation (Download)

Confidentiality Agreement (Download)

The law protects the relationship between a client and a practitioner and information cannot be disclosed without written permission.

Exceptions include:

• Suspected child abuse, dependent adult or elder abuse.
  I am required by law to report this to the appropriate authorities immediately.

• If a client is threatening serious bodily harm or another person or persons.
  I must notify the police and inform the intended victim(s).

• If a client intends to harm him or herself.
  I will make every effort to enlist their cooperation in insuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.

Please note:
I have always used supervision since I began this career. I do have consults with my supervisor when necessary. Confidentiality is respected according to the above policies.