Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session. At your first appointment, you will also be asked to complete and sign an informed consent form which is standard paperwork that gives me permission to be your therapist and explains the overall process of therapy and guidelines of my practice, as well as a HIPAA form which explains your rights as a client in terms of privacy and confidentiality. If you have any questions, you can contact me at any time, or we can discuss in detail at your first session.

NEW Client CHILD Intake form

NEW Client ADULT Intake Form

Information Sheet

Limits of Confidentiality


Contact Today

10 Tindall Road Suite 3
Middletown, NJ 07748
(732) 443-0331

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