If you're a new client, please complete the following forms and bring them to your first therapy session.
- New Client Information Form
- New Client Disclosure Statement
- Neurofeedback Rates and Payment Options
- Billing Welcome Letter
- Electronic Payment Authorization Form
- Neurofeedback Do's and Don'ts
- Coaching Client Informed Consent
- New Neurofeedback Client Information Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physicin, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.