FORMS

There are two separate forms to complete prior to our first scheduled appointment: the Disclosure Form and the Initial Intake Questionnaire. I will provide these forms for you, and suggest that you arrive 15 minutes early to our first appointment in order to leave yourself ample time to complete them. If you prefer, or are scheduled for telehealth, please fill out the forms ahead of time. You can click on the links above, download the forms, fill them out, and email or mail them to me at the address listed on the form’s letterhead. Thank you.

The Release of Information Form is available for consultation with other professionals or service providers. All forms are also posted below for your convenience when therapy or coaching is ongoing.

The LifeMAP - General Functional Skills Assessment is available as needed for clients seeking to learn more about strengths and specific challenges related to independent living skills.