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Ready to take the next step?

I can be contacted by phone or email for more information or to schedule an initial 20 minute complimentary phone consultation. When leaving a message or sending an email, please indicate your preferred way of contact including letting me know if it is okay to leave a phone message.

My office is located in the West Seattle Junction. Free street parking is available.

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If you need more immediate attention, please contact the 24 hour Crisis line at: 866-4CRISIS (866-427-4747).
If this is a life-threatening emergency, please call 911.

New Client Forms

How to complete forms

Below are the new client forms you will need to complete at the start of your therapy. Filling these forms out in advance allows us to devote more time to therapy. It also allows more time during our first session to address any questions or concerns you may have about the content of these forms or the overall therapeutic process.

After downloading blank copies of each form you may either
1.) Fill it out on your computer using Adobe Acrobat or Microsoft Word
2.) Print it and fill it out by hand

Form Downloads

Client Information

 Client Information - .PDF

Download in .PDF format

(Use with Adobe® Reader or Acrobat)

Client Information - .DOC

Download in .DOC format

(Use with Microsoft® Word)

Disclosure Statement

 Disclosure Statement - .PDF

Download in .PDF format

(Use with Adobe® Reader or Acrobat)

Disclosure Statement - .DOC

Download in .DOC format

(Use with Microsoft® Word)

Notice of Privacy Practice

 Notice of Privacy Practice - .PDF

Download in .PDF format

(Use with Adobe® Reader or Acrobat)

Notice of Privacy Practice - .DOC

Download in .DOC format

(Use with Microsoft® Word)

What to do with your completed forms

Please print, complete and bring the forms to your first session. 

Attach A File:

Maximum file size: 2 MB.
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