New Client Forms

before we begin

Welcome — let's get you settled

Taking the first step toward therapy is meaningful, and I'm glad you're here. These forms help me understand your history and what brings you in, so our first session can be spent on you rather than paperwork.

Please complete all four before your first appointment. You can fill them out on your phone, tablet, or computer — there's nothing to print, scan, or mail back.

How this works

  1. Click a form below. It opens right away in a secure, encrypted page.
  2. Fill it out and submit. Your answers come directly to me. Nothing is stored on this website.
  3. On the agreement forms, you'll type your full name and check a box to sign. That counts as your legal electronic signature.
  4. That's it. No printing, no scanning, no email attachments.

Thank you — that form has been received.

It came straight through to me securely. Any remaining forms are marked below.

1
About 5 minutes Completed

Client Information & Insurance

Your contact details, date of birth, and insurance information. You can upload photos of the front and back of your insurance card straight from your phone.

Open Form You’ll type your name and check a box to sign.
2
About 15–20 minutes Completed

Adult Self‑Report

The longest of the four, and the most helpful. It covers what brings you in, your history, and how things have been affecting your daily life. Take your time with this one — somewhere quiet, when you're not rushed.

Open Form No signature needed on this one.
3
About 5 minutes Completed

Psychotherapy Practices Agreement

My policies on scheduling, cancellations, fees, payment, privacy, and how we'll communicate between sessions. Worth reading properly — it explains how the practice runs.

Open Form You’ll type your name and check a box to sign.
4
About 2 minutes Completed

Agreement to Telehealth

Your consent for us to meet by video when circumstances make it hard to be in the room together. It covers your rights, confidentiality, and the limits of meeting online.

Open Form You’ll type your name and check a box to sign.

Private and encrypted

Every form is HIPAA‑compliant and encrypted end to end. Your answers go directly to me and are never stored on this website.

Go at your own pace

You don't have to finish everything in one sitting. If a question doesn't apply to you, it's fine to leave it blank and we can talk it through together.

Nothing here is a test

Some questions are personal. Share what you're comfortable sharing — there's no wrong answer, and everything is a starting point, not a verdict.

If you're in crisis, please don't wait on paperwork. Call or text 988 for the Suicide & Crisis Lifeline, or call 911 if you're in immediate danger.

Having trouble with a form, or not sure which ones apply to you? Get in touch and I'll help you sort it out.