The following are a number of downloadable materials to assist my clients as well as individuals and groups within our network. They are available for free download by clicking on the document title.
Psychotherapist – Patient Service Agreement (PDF)
The Psychotherapist – Patient Service Agreement is a document that describes important information about the professional services and practice policies.
Privacy Practices (HIPAA) (PDF)
This notice describes how psychological and medical information about you may be
used and disclosed and how you can get access to this information.
Information Release Authorization (PDF)
Conditional agreement and authorization of the release of information.
Client Intake Form (PDF)
Credit Card Authorization Form (PDF)
To take the Sexual Addiction Screen Test (SAST) please visit www.sexhelp.com. Look for the link “Am I A Sex Addict?” at the top of the page. Your responses are completely confidential and you do not have to provide your name or email address
The Gay and Bisexual Sexual Addiction Screening Test.
Internet Sex Addiction Assessment (ISAS)
Love Addiction Self-Assessment (LASA)