NEW PATIENT FORMS
Prior to your first appointment, you will receive an email from Fill containing the Combined Packet of New Patient Forms. Fill is an e-signature service similar to DocuSign. Please use the link in the Fill email to complete this online packet prior to your initial appointment.
If you desire to complete the forms by hand, below is a PDF of the Combined Packet of New Patient Forms (click on link to download):
For your reference, below is an individualized list of the New Patient Forms
(click on links to download):
Release of Health Information (For DC Residents Only)
Informed Consent for E-mail Communication (If Desired)
Medicare Private Contract (For Beneficiaries of Medicare)
A Policies & Fees form can be accessed here.
I am committed to honoring confidentiality and your privacy. Please download and review my Notice of Privacy Practices.
Privacy Practices
EDUCATION AND SUPPORT SERVICES
American Psychiatric Association
National Alliance on Mental Illness
American Foundation for Suicide Prevention
The National Suicide Prevention Lifeline
Anxiety and Depression Association of America
Depression and Bipolar Support Alliance
Attention Deficit Disorder Association
National Eating Disorders Association