Admission and Intake Forms

These forms are to be completed before therapy begin.      One or more of these forms may be completed throughout therapy for measurements of progress.  After you complete the form, you will be asked to enter an email address to send the results.  Please enter your email address and [email protected] 

                                                                                                              CLINICAL FORMS

1.  Anxiety Test by Dr. David Burns    

     https://feelinggood.com/anxiety-test/                             

2.  Depression Test by Dr. David Burns

     https://feelinggood.com/depression-test/

3. Relationship Satisfaction Test 

     https://feelinggood.com/relationship-satisfaction-test/

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:

• Authorization to Disclose Information Form

Additional Intake Forms may be sent to you.

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