Forms (requires Adobe Reader*)

Prior to your first visit I recommend that you fill out your forms. This will help orient you to the treatment process and help me understand your needs more efficiently.  If you have questions you may leave me a message at 775 771-3866. If you want to fax your forms back to me, please be sure to use a cover sheet with my name on it to protect your privacy. My fax is 775 786-4451.

Adult Forms

Adult Informed Consent pdf

Financial Agreement pdf

Adult Intake pdf

Release of Information pdf

No Secrets Policy (couples and families only) pdf

Child and Adolescent Forms

Child Informed Consent pdf

Financial Agreement pdf

Child Intake pdf

Release of Information pdf

No Secrets Policy (couples and families only) pdf

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