Please do not fill out this form until after we have scheduled an initial appointment. If you are not a current client and you fill out this form, your responses will be deleted. Please contact me to set up an initial appointment first.
After you have scheduled an appointment with me, please fill out this form to provide information that will help plan your counseling and psychotherapy services. All responses will be kept confidential. Thank you for your assistance in making the most of your counseling services.