FORMS, REFERRALS, RESOURCES AND HANDOUTS

Initial Forms:

Initial Intake Form

Disclosure Form

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 in-person appointments, and suggest that you arrive 15 minutes early in order to leave yourself ample time to complete them. If you 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 via USPS at the address listed on the form’s letterhead. Thank you.

Additional FORMS:

Release of Information Form

LifeMAP Functional Assessment Form

Handouts

ADD/ADHD Iceberg

Apologies 101

EMDR Negative/Positive Cognitions

Emotions Wheel

Famous Individuals Who Are Neurodiverse

Meltdown Mapping & Caregiver Tip Sheet

Relation Do’s & Relationship Don’ts

Steps For Resolving Conflicts

Strengths Commonly Associated With ASD

What Autism Really Looks Like- Nera Birch- Visual description of complexity (The Mighty)

What is Interoception? 2-page summary from: Mahler, Kelly. (2016). Interoception--The Eighth Se nsory System. Body Scan Guidelines (From Kelly Mahler- Interoception above).

What is an NT?

Wheel of Life