New Clients

Whether you are a new or returning client, or perhaps browsing online resources for more information about an issue or the world of psychology, I am excited that you have found your way to my site. My hope is that you enjoy what you see here and find the information to be valuable whether for yourself or someone else you encounter. For new clients interested in scheduling an appointment, I would be honored to join your healthcare team as you take steps toward enhancing the quality of your life!

New Client Paperwork:

Before we get started, please take 15 minutes to print out, review, complete, and sign the following forms. Please bring the completed forms with you to our first appointment along with any questions and/or comments you may have. Your doing so will help to streamline our time together, so that we may talk more in depth about your specific reasons for coming in and how we might formulate our work together. I appreciate your cooperation and look forward to the pleasure of meeting you with excitement and commitment to helping you achieve your personalized goals.

Please download, review, print and sign the signature page of the Psychologist-Client Agreement (HIPPA Informed Consent). Also, please also read the Privacy Notice of Psychologist’s policies and practices to Protect Your Health Information and sign the form. These forms should be completed by parent(s)/guardians(s) if client is a minor under the age of 18. Click on these links:

- Patient Client Agreement Revised 08.2016

- Privacy Notice 2016

- Intake-Form-2016

Insurance Coverage:

If you have insurance that may cover your therapy, please send me a quick email or call my office. Many patients are eligible for out-of-network reimbursement for mental health and/or health and behavior change services after an initial deductible is met, which varies by policy.

Whenever requested, I am happy to provide diagnostic codes and billing information that you may use to pursue partial reimbursement for services. Whether or not insurance reimbursement is pending, payment is non-refundable and due in full at the time of each session.

Emergency Services:

Please note, emergency services are beyond the scope of this practice. If a life-threatening emergency arises, clients are directed to immediately contact 911 or go to the nearest emergency room. In the event of crisis or suicide risk, clients are encouraged to contact the EMPACT Suicide Prevention Center at (480) 784-1514 or 1-800-SUICIDE (1-800-784-2433).