I look forward to meeting with you. For your first appointment, there are a few forms I need you to complete. You may print them out and complete them prior to coming in, or you may come 15 minutes early to fill them out.

Click here to download the adult forms in one file.

Click here to download the child/teen forms in one file.

For couple or family therapy, one person should complete the first packet - the one whose name will be submitted in insurance billing. The spouse or partner should
fill out this form.

Parents will need to sign the forms for children or teens.

If you have any questions about anything on the forms, you can call or e-mail me, or we can discuss it at your appointment.

Currently, I am also offering a group therapy experience.

 

 

Cleveland State University students click for course materials:
Read an interview where I talk about what to do when a relative interferes in a family situation.


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