Letter of Agreement
Please print and sign this Letter of Agreement, which reflects my policies regarding fees and other administrative issues related to the provision of professional services.
Download Letter of Agreement (PDF / 20KB)**
Notice of Privacy Practices
Please print and sign the first page of this document, which states that you have received this Notice of Privacy Practices.
Download Notice of Privacy Practices (PDF / 58KB)**
Credit Card Authorization
Please print and sign this credit card authorization form. You may choose to have your credit card automatically charged to pay for sessions. Otherwise, your credit card will be charged only when you do not pay at the time of session by check or cash.
Download Credit Card Authorization (MS-Word / 54KB)*
* NOTE: Documents in Microsoft Word format require that you have Word or a compatible word processing program installed on your computer.
** NOTE: Documents in PDF format require that you have Adobe Acrobat installed on your computer.