Important Forms

Client Forms

If you are a new patient, please review & complete the following forms and bring them to your first session.

Limits of Confidentiality Form - PDF Document

Patient Financial Responsibility Form - PDF Document

Professional Disclosure Statement Form - PDF Document

Privacy Policy

Your privacy is important to me. This Privacy Policy explains how I collect, use, and protect your information when you visit this website or contact my practice electronically.

Information I Collect
If you contact me through this website, email, or phone, I may collect personal information such as your name, email address, phone number, or other information you choose to share. This information is used solely to respond to inquiries, schedule appointments, or provide services.

This website is not intended for emergency communication. Please do not submit sensitive or confidential clinical information through website contact forms.

Use of Information
Information collected is used only for:

Responding to inquiries
Scheduling and managing appointments
Providing psychotherapy services
Administrative and legal purposes

I do not sell, rent, or share your personal information for marketing purposes.

Confidentiality & HIPAA
Psychotherapy services are governed by strict confidentiality standards and applicable privacy laws, including HIPAA. Clinical records and therapy-related information are maintained separately from this website and are protected in accordance with legal and ethical requirements.

Third-Party Services
I may use third-party services for scheduling, billing, telehealth, or website hosting. These providers have their own privacy policies and are required to safeguard your information.

Cookies & Analytics
This website may use basic cookies or analytics tools to understand website traffic and improve functionality. These tools do not collect personally identifiable or clinical information.

Email & Electronic Communication
Email and online communication are not guaranteed to be fully secure. By contacting me electronically, you acknowledge and accept this risk. You are encouraged to limit the information you share through electronic means.

Your Rights
You may request access to or correction of your personal information at any time by contacting me directly.

Changes to This Policy
This Privacy Policy may be updated periodically. Any changes will be posted on this page.

Contact
If you have questions about this Privacy Policy, please contact me.