Please print appropriate forms below, scan (or take a picture of each page), and email to [email protected] prior to our first appointment-thank you!
- Limits of Confidentiality Must be Completed and emailed prior to first appointment.
Complete one of these forms below that apply:
- Background Information Form (for adults)
- Background Information Form (for teens)
- Background Information Form (for children)
- Neurotypical whom has partner with ASD
Complete this form below only if you wish me to consult with one of you current providers.
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