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Blue Mountains
Blue Mountains

Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session.

  • History Adult OR History Child & Adolescent
  • New Patient Packet 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the Release of Information form below.


History Adult  
History Child & Adolescent  
Map to Office  
New Patient Packet  

Release of Information

Telepsychology: Things to Know

Telepsychology Informed Consent




Note: To download Adobe Acrobat Reader for free, click here.

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Helpful Forms

Click here to view and print forms for your appointment.