Intake Form

Intake Form

Prior to your first appointment, you will need to complete a short intake form and sign a consent for treatment which will remain in your confidential file, in a safe location.

To expedite the process of your first appointment, you may wish to download, print, and complete my  intake form before you arrive.  To do this, click on the  ink blot below.

By the way, this is not a ‘real’ Rorschach card in case you wondered.  However, they look very much like this!

 

Click here