1. For individual, couples/relationship or family therapy: New Client Background Information Form & Office Policies

        Sheet, and Patient Health Questionnaire

        Therapy Intake Forms

        Patient Health Questionnaire

         For group therapy: New Group Member Background Information Form and Office Policies Sheet:

        IFS Group Therapy Forms

        Crone Group Therapy Forms

    2.  For ALL new clients:

         HIPAA paperwork:  The Health Insurance Portability and Accountability Act (HIPAA) requires that health care providers notify patients of their

         policies affecting confidential patient/client information.

         Please download a copy of my HIPAA notice for your records:

           HIPAA Notice       

         Please print out and sign the Informed Consent form and bring it to your first session:   

          HIPAA Informed Consent

           -For more information about HIPAA, see http://www.hhs.gov/ocr/privacy/hipaa/understanding/index.html

         If you'll be meeting with me virtually/online, please sign the Telehealth Informed Consent form and send me the

          signature page only:

          Telehealth Informed Consent form

      3. If you will be using insurance:

         If you have an insurance plan OTHER than the Duke University student plan, excepting Medicare, use these questions to

         call your insurance company and ask about your plan's "out-of-network outpatient mental health benefits:"

         (Medicare excluded)

       Insurance Benefit Information

         And for ALL insurance plans, except for Medicare-- the Duke student plan, and also those of you

         who are using out-of-network benefits and would like me to file the claims (if you prefer to do the filing yourself, 

        please ignore this):

        New Client Insurance Policy Information