If you're a first-time client, please review and complete the following forms.
- New Client Information Form
- Intake Form
- Receipt of Notice
- Client's Rights
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.) complete this form:
If you are a first-time Neurofeedback client, please complete the following forms and bring them to your first session:
If you are attending a Trauma-Sensitive Yoga class, please review and complete the following forms and bring them with you to your first session.
- Trama-Sensitive Yoga Disclosure Form
- Trauma-Sensitive Yoga Health Waiver Form
- Trauma-Sensitive Release Form
If you are attending Making Peace with Food: Mindfulness Skills for Overcoming Overeating, please review and complete the following forms and mail them to me by October 18, 2013 along with your payment.
Note: To download Adobe Acrobat Reader for free, click here.