Forms
For the first session
Please print out each of the forms listed below, fill them out, and bring them with you to your first session.
Professional Statement and Policies
Other Forms
Authorization to Release Information
This form is needed if you would like me to talk to your doctor, any other professional or family member about my work with you. A separate form is required for each person. You can either bring it with you to your next session, or fax it to my office at 425-286-6116.
Please fill out this form to pay your bill using either a Visa or MasterCard. You may fill this form out and fax it to my attention at 425-286-6116.
Please fill out this form if you would like to receive a copy of your records, or have them sent to another party. Records requests can take up to two weeks to process.