Downloadable Forms & Resources
 

Forensic Services -

Attorney Information and Referral Form

Attorneys have the option to complete this form to facilitate an efficient, yet thorough forensic evaluation that will be most relevant and informative to the Court.

Psychotherapy & Assessment Services

Intake Questionnaire & Consents


New clients, please download, review, and complete these forms in preparation for your first intake appointment OR plan to arrive at least 15 minutes in advance of your first scheduled appointment to complete.

*** Please Note.   If you are in need of a psychological assessment in context of legal situation, these consents and disclosures may not apply.  Ask  your legal representative to contact me directly by e-mail or telephone.

Psychotherapy & Assessment Services

Financial Policies & Fee Disclosures

Offers valuable information regarding self-pay and healthcare insurance reimbursement for therapy and general assessment (non-forensic) services.

Psychotherapy & Assessment Services

Privacy Notice & Disclosures

Clients, please review these important notifications concerning limits of confidentiality and applicable privacy laws

Authorization for Release of Information

Allows me to communicate and/or exchange records about clients with authorized third-parties.

Phone 919-800-1174

Mail Correspondence: 13200 Strickland Rd 114-331,  Raleigh, NC 27613

Office: 8374 Six Forks Road, Suite 201, Raleigh NC 27615

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