If you're a new client, please complete the following forms and bring them to your first therapy session.
- kbs-adult-intake-form.revised.pdf
- informed-consent-information-and-privacy-notice-revised.pdf
- telehealth-informed-consent.pdf
- Fee Structure for Non-Billable Insurance Procedures
Other Forms:
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, Click here.