forms

Let’s work together to support your young adult’s mental health journey. Before we begin, I may ask you to complete and submit the forms below to help us initiate your virtual therapy sessions.

Informed Consent for Telehealth Services

HIPAA Notice of Privacy Practices

Intake Form for Clinical Psychology Services

Release of Information Form

Credit/Debit Card Payment Form

A teen sitting in bed while engaged in a virtual therapy session on a laptop with psychologist, Eric Schleifer, phd.