Forms

Here are links to forms used in my practice, for your convenience.

You can download, print and bring with you to our first session.

You can also find more information about EMDR and Play therapy here.

Adolescent Child intake packet 2023 (pdf)

Adult Intake Packet 2023 (pdf)

Release_of_Information (pdf)

What is Play Therapy (pdf)

EMDR Consent.doc (pdf)

What is EMDR for kids (pdf)

What is EMDR for teens (pdf)

What is EMDR for Parents (pdf)

What is EMDR for adults (pdf)

Informed Consent TeleHealth (pdf)

Insurance Opt Out Form (pdf)

COVID Waiver (pdf)

credit card auth form (pdf)