Scroll down to find the paperwork requested:
Disclosure and Questions
To save time on our first visit, please click “Disclosure” and “Some Questions” to gain access to the pdf links below. Then please print, and complete the forms.
Please bring both “Disclosure” and “Some Questions” with you when you come in.
Please print, read and sign these documents:
Disclosure Statement Methods Rate Scale
Please print and complete:
Questions with Attachment History
Telehealth
Also, print, read, complete and sign “Telehealth Consent.”
This is in case of inclement weather, or if we decide together to meet through Telehealth. please click on the PDFs below for instruction, then print, read, complete and sign the “Telehealth Consent.”
Please print, read and sign the following consent:
Please read the following information regarding Doxy.me below:
Instruction and Tips for Doxy.Me
Information Update and Rate Scale Update – For people already meeting with me – Only if requested
This is for people already meeting with me. Every two years, I increase the rate scale slightly for cost-of-living. At that time, I also ask to update information for my files. Please click on the PDF link below and print, complete and sign when requested.
Please print, complete and sign the form below.
Information and Rate Scale Updates 2026 – 2027
Authorization to Release or Request Information – Only if requested
If it has been requested that I speak on your behalf to another health professional, please print, read and sign the following release:
Authorization to Release or Request Information