New Patient Forms

Please print and fill out the following forms for either yourself or your child and bring them to your first appointment if you are a new client. They will help to start the process.

If you feel you would like to coordinate care with another provider (for example, a psychiatrist, tutor, therapist, school staff, primary care physician, etc.), simply complete the following form, and we can have that arranged.

If you would like to pay for services with your Visa or MasterCard, please complete the credit card authorization form. This form permits me to bill your credit card once per month for any charges accrued while you are a patient.