Welcome! I’m so glad you’re taking this step for your child (or yourself). Before the first session, please download, print, complete, and sign the forms below. For a child or teen client, a parent or legal guardian completes and signs the paperwork. Bringing your completed forms to the first appointment (or arriving 15 minutes early to finish them) lets us spend our full session time together.
Please do not email your completed forms. Standard email is not a secure way to send health information. Bring your signed paperwork to your first session, or upload it through the secure client portal at [Client Portal] if you have received an invitation.
Your New Client Paperwork
Each document below opens as a web page with a Print / Save as PDF button. To save a copy instead of printing, choose “Save as PDF” as the destination in your browser’s print dialog.
- Informed Consent for Psychotherapy
How therapy works, its benefits and risks, confidentiality and its legal limits, consent for minors, and your rights as a client. Required before we begin.
- HIPAA Notice of Privacy Practices
How your health information is protected, when it may be used or disclosed, and your privacy rights under federal and California law.
- Child & Family Intake Form
Background about your child and family to help us make the most of the first session — print and complete by hand.
- Telehealth Informed Consent
What to expect from video sessions: benefits, risks, privacy, emergency planning, and your rights under California telehealth law.
- Financial Agreement & Fee Schedule
Session fees, payment terms, the cancellation policy, out-of-network insurance details, and sliding scale availability.
- Good Faith Estimate Notice
Your right under the federal No Surprises Act to a written estimate of therapy costs before you begin.
- Authorization to Release Information
Optional form allowing me to coordinate care or exchange information with another provider or person you choose.
- Communication, Technology & Social Media Policy
How we communicate between sessions — phone, email, text, and social media — and how your privacy is protected on each.
What to Expect
- Review at your own pace. These documents explain how therapy works, how your privacy is protected, and what services cost. Please read them before signing.
- Questions are welcome. We will go over anything that is unclear at your first session — you can also reach out beforehand via the contact page.
- Signatures. The Informed Consent, Child & Family Intake Form, Telehealth Consent, Financial Agreement, Communication Policy, and HIPAA Acknowledgment each include a signature section to complete by hand.
- The Release of Information form is optional. Complete it only if you would like me to coordinate care with another provider or share information with someone you choose.
Looking for this website’s legal pages? The Website Privacy Policy and Terms of Use are linked in the footer of every page.