New Client Forms

If you’re a new client, please complete the following forms. The Adobe PDFs are fillable, so please save with your name as part of the file name.

You may bring them to your first therapy session or email them to

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

New Client Intake Form

Informed Consent Form

Notice of Privacy Practices

Please fill out the release of information form only if you need me to consult with any other parties related to your therapy. 

Release of Information Form

Psychotherapy services are available for adults, teens, and families.



45 San Clemente Drive
Suite B120
Corte Madera, CA 94925