Before We Meet:
I will email you my policies and my intake forms prior to our first meeting. I will also invite you to my client portal on Simple Practice so you can upload the intake forms prior to our appointment. If you choose to have paper charts, you can mail the forms to my office and we will discuss this.
During our Work Together:
ATTACHMENT HISTORY: At some point in our work, I have all relationship partners and many individuals complete an attachment style questionnaire so that we can use this in our work together. Please print out your results and bring them in. If you have multiple partners or feel that your responses vary depending upon different relationships, please focus on the relationship we are working on in therapy in your response. Or you may complete separate surveys for different partners.
THOUGHT RECORD: Sometimes I use Thought Records in my work with clients. If you need extras, you can download this one.
If you are seeing me for Insomnia, I will have you complete a 7-day sleep diary to track your sleep habits.
REDUCED FEE AGREEMENT: If your circumstances change and you need to request a fee adjustment, I will have you complete my Reduced Fee Agreement form.
COLLATERAL CONSENT FORM: If we decide that it is important for me to meet with another person in your life who wishes to support your treatment, you and I will make a detailed plan for how this might best work. We will also have this individual read and sign this form.
AUTHORIZATION TO RELEASE INFORMATION: There may be times when you and I agree it would be helpful for me to speak with another person to coordinate your care. With the exception of the situations outlined in the HIPAA form, I cannot do this without your written consent. Usually, we will speak about this in person and you will sign the form in my office. However, if you’re unable to meet with me, you may complete my Authorization to Release Information Form and send it back to me.
NOTICE OF THE GOOD FAITH ESTIMATE FORM (2022): This form is part of the No Surprises Act which you can read about on my Fees page. I am placing it here in case others search for it on my forms page.