We will resume in-person sessions on a limited basis beginning Monday, July 6th at our Ellicott City office, and Monday, July 20th at our Bethesda, Alexandria & Fairfax offices. Telemental health sessions will continue to be offered. Please contact our office to discuss availability. Learn More

Client Forms

//Client Forms
Client Forms 2020-06-30T09:39:37+00:00

For your first appointment, please fill out the following forms. Please note that for couples/marital or family therapy, each adult client needs to fill out and submit their own forms:

If you are receiving TeleMental Health Sessions, please fill out this form:

If you are a parent or guardian of a client who is a minor, please fill out this additional form:

To authorize us to bill a third party for your sessions, please fill out this form:

To authorize us to release or obtain your healthcare information, please fill out this form:

If you are a third party who agrees to pay for a client’s sessions, please fill out this form:

Formas en Español
Para su primera cita, por favor llene los siguientes formularios: