Growth BRINGS POSITIVE CHANGE
Helpful Forms

If you're a first-time client, please review and complete the following forms, bring them to your first session.

Additionally, if you are a couple coming in for the first time, please review and complete the following forms and bring them to your first session. 

If you would like me to coordinate care with another provider in Portland or elsewhere (for example, your psychiatrist, endocrinologist, etc.), complete this form:


Client Intake Form
Confidentiality and Cancellation Policy
Consent to Release



Gottman 19 Areas Checklist for Couples 

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

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Helpful Forms

Click here to view and print forms for your appointment.

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