Forms

If your first session has been scheduled with me, you are ready to complete forms.  If we have not yet spoken, please call (315) 398-1989 for your free phone consultation before completing any forms. This call will determine if my services meet your needs. 

Once scheduled, please complete and submit only the forms below that apply to you. I will receive them via email. Thank you.

Therapy Clients: Please complete only the following 4 forms: First Appointment Form, Financial Policy, Privacy Info, Treatment Agreement. 

Coaching Clients: Please complete only the following 3 forms below: Coaching Questionnaire, Health History and Disclaimer

If you are interested in applying for a VIP Day, please fill out the VIP Day Application

First Appointment Form
Coaching Questionnaire
Financial Policy
Privacy Info
Treatment Agreement Adults
Treatment Agreement Minors
VIP Day Application
Health History
Disclaimer
Telehealth Consent to Participate