Intake Forms for David’s Clients

If you are a new client, please complete the following forms and bring them to your first therapy session.

• Confidential Information (PDF)
• Payment Contract (PDF)
• Disclosure Statement (PDF)
• Consent Form (PDF)
• HIPPA Form (PDF)
• Acknowledgment of Receipt of Notice of Privacy Rights (PDF)
• Life History Questionnaire (PDF)
• Release to Use Unsecured Emails and Texts (PDF)
• To Get the Most Out of Your Therapy  (PDF)