Forms

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

1. Client Psychotherapy Intake Form

2. Limits of Confidentiality/Therapy Cancellation Policy

3. Partner Questionnaire

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize the release of psychotherapy information:

1. Authorization to Disclose Information Form

Attachment Style Inventory

To find out more about how you relate to the important people in your life, fill out the questionnaire below.

1. What is your Attachment Style?

If your sexual behavior might be out of control, complete these 4 forms and the attachment style inventory above.

1. Adverse Childhood Experience Inventory

2. Sexual Symptom Assessment Scale

3. Hypersexual Behavior Consequences Scale

4. Dual Control Model of Sexual Response: Sexual Inhibition/Excitation Scale

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