Licensed Psychologist

Forms & Policies


Consent form  
This document contains important information about my professional  services and business policies. Please read it carefully and jot down  any questions that you might have so that we can discuss them at your  first meeting.  
Download the consent form below

Notice of Policies and Practices to Protect the Privacy of Patient Health Information 

This notice describes how psychological and medical information about  you may be used and disclosed and how you can get access to this  information.  Please review it carefully.
Download the patient privacy form below. 

Release of Information form
Download the release of information form below.