Client Forms

Prior to the initial appointment, please review the HIPAA form and the intake form, print, complete and bring with you to the initial appointment.

For couples counseling, I ask that each member of the couple individually complete this form.

For adult individual therapy please complete this form.

For minors receiving therapy the parent/guardian should complete this form.

For clinical supervision please complete these forms:


Contact Today

320 Raritan Ave Suite 204 B
Highland Park, NJ 08904
(732) 354-2590

Got Questions?
Send a Message!