For new clients: please download to your computer the “Client Signature Page,” sign it, scan it, and either attach and email it back to me, or mail it to me, ASAP. The Signature page asks you to sign that you have read the HIPAA page. (Printing it out is up to you.) If you would like to see my BAA with Doxy.me, you can download that document.

1. HIPAA Regulations

2. Client Signature Page

3. BAA: Business Associate Agreement.

   (Between myself and Doxy.me regarding HIPAA compliance.)

4. In-take Form (Download and return to me if you would rather use this form than the one provided by the web site.)

5. Agreement to do therapy through tele-psychotherapy.

If you would like to answer some basic questions ahead of time, click on this link for questions you can use as prompts to write out and email me.

1. In-take Questions.