NEW CLIENT FORMS
Once you download, print, and complete the appropriate forms, you may send them via secure transfer by scanning the completed documents into your computer and using the button below. You will be taken to the Secure Document Transfer page of this website. Or, you may bring them in for your initial visit.
Couple New Client Packet

Couples Counseling | |
File Size: | 910 kb |
File Type: |
Individual New Client Packet

Individual Counseling | |
File Size: | 874 kb |
File Type: |
Telehealth Addendum Form

Telehealth Consent Form | |
File Size: | 112 kb |
File Type: |
OTHER HELPFUL FORMS
Couple Assessment - Ask me about taking the Gottman Relationship Checkup
Adverse Childhood Experience Inventory

ace-score.doc.pdf | |
File Size: | 42 kb |
File Type: |
Female Sexual Function Inventory

fsfi.pdf | |
File Size: | 19 kb |
File Type: |
Male Sexual Health Questionnaire

mshq.pdf | |
File Size: | 389 kb |
File Type: |
Sexual Symptom Assessment Scale - Evaluates problematic sexual behaviors.

sexual_symptom.pdf | |
File Size: | 89 kb |
File Type: |
Hyper Sexual Behavior Consequences Scale - Evaluates adverse consequences from sexual behaviors.

hypersexual-behavior-consequences-scale.pdf | |
File Size: | 44 kb |
File Type: |
Release of Medical Information

dr_release_of_information.pdf | |
File Size: | 196 kb |
File Type: |
What is Your Attachment Style? - Clicking the button below will take you to a different site. Print your results and bring to your next session.
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