Forms

Before we meet for our first session, please complete the three forms below and bring them to the appointment.  By clicking on the title, each form will open in a new window as Microsoft Word documents.  Feel free to call me at (301) 512-9256 if you have any questions.

Please fill out both of the following forms:

1.  Client Information

2.  Practice Information 

Please fill out one of the following forms (depending on whether you will be seen at the Rockville, Maryland location or the Fairfax, Virginia location):

3.  Maryland Privacy Notice

or

3.  Virginia Privacy Notice