Hello + Welcome

Thank you for taking the time to meet with me! I am looking forward to getting to know more about you and how I can help.

Please complete my New Client Paperwork according to the instructions below.

New Client Paperwork

Informed Consent

Who completes this form?

All Individual Clients

For Couples: if you do NOT wish to attempt reimbursement from your insurance, you can both complete the above Informed Consent form. If you would like to attempt reimbursement, please let me know as soon as possible and I will send the proper consent forms.

Client Information

Who completes this?

All Clients & Collaborative Non-Clients

Sexual Story & Beliefs

Who completes this form?

All Clients interested in engaging in therapeutic work related to intimacy, sexuality and sexual health.

Other Resrouces

Out of Network Provider Resource

This resource will help you navigate Out of Network benefits related to the services I provide with your insurance providers. You will find CPT codes, diagnosis codes, and provider information needed to verify your benefits.

Authorization to Disclose Healthcare Information

All Clients who would like me to collaborate with other healthcare providers - individual/couples therapist, physical therapists, medical specialists, primary care provider, psychiatrist, etc.

HIPAA Notice of Privacy Practices

How do I pay for sessions?

I use a HIPAA Compliant app for payment called IVY PAY. During our first session, you will receive a text with a link to a portal which will allow you to put a payment card on file and to authorize automatic charges. If you have an HSA/FSA, don’t forget that you can use these pre-tax dollars for therapy services!

You can learn about my payment policies in the Informed Consent form above.