New Client Forms
If you have already scheduled an initial appointment, please print and complete the forms to the right, and email them to me or bring them to our first meeting. (The telehealth informed consent need only be completed if you would like the option of meeting via telehealth.)
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For new couples therapy clients, each partner should complete the Couples_Therapy_ Questionnaire below in addition to the forms above:
| couples_therapy_questionnaire.pdf |
Existing couples therapy clients, see below for a copy of the weekly questionnaire for your files:
| weekly_questionnaire_for_couples_therapy.pdf |
Release form for consultation with other care providers, family members, etc.:
| release_form_charlottesville_psych.pdf |