Prior to your initial appointment, please take a few moments to review these forms. Please print these out and sign and bring to your first appointment. If you cannot print them, I will have a copy for you when you arrive. Do NOT email them to me. Thank you!

Intake Questionnaire

Informed Consent

Privacy Notice

Practice Policy


Upon completion, please print the forms and bring them to your first appointment. DO NOT email them to me.

(To save each form as a pdf, click the link above to open the form. Click File, Print, Save as PDF.)


LISW-CP Supervision Forms

Initial Checklist

LISW-CP Requirements

Supervision Guidelines

LISW-CP Supervision Contract

Please print the required forms and bring them with you to your initial meeting.