Contact me

Offices in Seattle and on Bainbridge Island.
Call me at (206)-384-3072.
Maps and Directions...

Forms You Will Need.

Client Information

The Client Information Form can be downloaded by clicking on the link to the right. This is used to gather information needed in the client therapist relationship.

Informed Consent

The Informed Consent Form can be downloaded by clicking on the link to the right. It is provided as required by law, to assist you in making an informed decision about your participation in the psychotherapy process.

Patient Insurance Information

The Patient Insurance Information Form can be downloaded by clicking on the link to the right. This is required to be filled out for those clients who use their insurance to cover part or all of session fees.

Release of Information

The Informed Consent Form can be downloaded by clicking on the link to the right.

PDF Documents

The forms mentioned are all in PDF format from Adobe. If you do not have Adobe Acrobat Reader installed on your computer, click the button below to download and install it for free.