Please print, complete, and bring these forms to your first appointment:
Informed Consent to Receive Psychological Services (required)
Informed Consent for Electronic Communications (required)
Personal Information and History (required)
Vermont Disclosure of Information (required)
Consent for Release of Information (optional, to be completed only if you wish me to communicate with your other providers)
Informed Consent for Electronic Communications (required)
Personal Information and History (required)
Vermont Disclosure of Information (required)
Consent for Release of Information (optional, to be completed only if you wish me to communicate with your other providers)