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This page contains your Intake forms, plus links to assessment tools for anxiety, depression and substance abuse. Before your first session, please download and complete the Intake form, Informed Consent and Consent to Treat and Online Informed Consent. Thank you.

Intake Forms

Intake Form with PHQ
Informed Consent and Consent to Treat
Online Informed Consent

Return your intake forms to me HERE

Other Forms

1 / Release of Information

Release to allow me to talk, text or email with your MD, former therapist or family member

2 / Patient Health Questionnaire (PHQ-9)

Ten item mood screening tool.

3 / GAD-7

Seven item screening tool for anxiety.

4 / TAPS 1 & 2

The Tobacco, Alcohol, Prescription medications, and other Substance (TAPS) Tool assesses for tobacco, drug and alcohol issues in adults.