Forms for the First Session

The Right Fit

Finding a therapist whom you trust and feel comfortable with is essential for therapy to be most effective. Since I believe strongly in the importance of the fit between the therapist and the client, I provide a free 15-minute phone consultation.



I am in-network (a preferred provider) with Pacific Source and First Choice. I am out-of-network with other insurance plans. If you have an insurance plan that includes out-of-network therapy as part of your benefit, then a portion of my fee should be covered as an out-of-network provider.  I am happy to bill your insurance for you.


Forms for Your First Session

Before our first therapy session, please download and read the “Psychotherapy Forms to Read,” and please download, print, complete, and bring with you the “Psychotherapy Forms to Sign.” Most of the forms are fillable except the final page (DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure), which must be printed to complete or filled out at the first session. If you don’t have easy access to a printer, or if you have difficulty downloading the forms, just let me know and I can provide you a paper copy. Finally, if you intend to use medical insurance for our counseling, please download, complete, and E-mail back to me the “Insurance Benefits Form”. My billing specialist will research your mental health benefits so that we will both know the amount of your deductible and copay.