Documents

Paperwork, handled before we meet.

A few documents you can read on your own time. The rest of your paperwork comes to you directly, so nothing sensitive sits on a public page.

Client documents

These are the documents available to download directly. Everything else in your client paperwork is delivered to you privately rather than posted publicly.

Notice of Privacy Practices (HIPAA) How your protected health information is used, stored, and safeguarded, and your rights regarding it.
Download PDF
Authorization to Release Information Use this to authorize communication with a physician, attorney, treatment program, or family member.
Download PDF
Safety Plan An interactive tool for building a personal safety plan you can print or save.
Open generator

Good Faith Estimate. Under the No Surprises Act, clients who are uninsured or not using insurance have the right to a written estimate of expected costs before care begins. A Good Faith Estimate is provided to qualifying clients, and to anyone else on request — just ask.

Intake paperwork. Your intake forms, informed consent, telehealth consent, and practice policies are sent to you directly before the first session rather than hosted here.

Questions about the paperwork?

Ask before you sign — that’s what it’s there for.

Your privacy and safety are my top concerns. Your information will never be shared or sold. Please don't include sensitive clinical details in this form — we'll cover those securely once we connect.