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.

• Authorization to Disclose Information Form 

Note: To download Adobe Acrobat Reader for free, Click here.