If you're a new client, please complete the following forms and bring them to your first therapy session.
- Individual Client Intake Form
- Child-Family Intake Form
- Informed Consent Form For Anne van Roden
- Informed Consent Form For Charlie Delavan
- Consent for Treatment for a Minor Form
- Limits of Confidentiality/Therapy Cancellation Policy
- Credit Card On File
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.