Helpful Forms

If you're a new psychotherapy client, please download and complete this packet and bring it to your first session. If you are scheduling an appointment for couples counseling, both partners should complete a packet. 

If you are scheduling a wellness consultation, please complete this packet and bring it to our appointment.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please also complete this Release of Information

If you have been referred for a third-party reproduction consultation, please download and complete this packet . If applicable, both partners should complete a packet. Please bring the completed packets to our meeting.

If you are scheduling an egg donor evaluation, please complete this packet

If applicable, please have your partner complete a packet as well. 

 If you are a gestational carrier (surrogate) candidate scheduling an evaluation, please complete this packet. If applicable, please have your partner complete a packet as well.


Note: To download Adobe Acrobat Reader for free, click here.

Helpful Forms

Click here to view and print forms for your appointment.

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