Client Forms & Resources

  • New Client Intake Form

    Informed Consent for Psychotherapy Services

    HIPAA Authorization for Release or Disclosure

    Consent to Treat & Guarantee of Payment

  • Confidential telehealth sessions are available through a secure, HIPAA-compliant encrypted platform provided through Psychology Today.

    Online therapy offers added flexibility and convenience, allowing for greater mobility in scheduling and attending appointments from the comfort of your own space.

    Telehealth services are available to Utah residents only.

    Most insurance plans are accepted, and I’m happy to help verify coverage for both telehealth and in-person sessions.

  • To schedule an appointment, please text (385) 644-9078.

    When reaching out, please include:

    • Full name

    • Date of birth

    • Home address

    • Insurance carrier or EAP information

    • Best contact phone number

    • Preferred days and times for appointments

    I make every effort to respond within 12 hours.

  • Generalized Anxiety Disorder 7-Item (GAD-7) screener

    PHQ-9 scale

  • Insurance is managed through third-party platforms, including Headway and Rula. These platforms handle insurance verification, billing, and sign-up to help make the process simple and convenient for you.

    Some questions these platforms can help you answer include:

    1. What are my mental health insurance benefits?

    2. Do I have a deductible, and has it been met?

    3. How many therapy sessions per year does my insurance cover?

    4. What will I pay per therapy session?

    5. Do I need a referral or prior authorization from a doctor?

    Using Headway or Rula can help you better understand your insurance coverage and potential out-of-pocket costs before beginning therapy. Coverage and costs vary depending on your insurance plan and provider.

  • Payment is accepted through Venmo, insurance, and Employee Assistance Programs (EAP). For in-person appointments, Visa, Mastercard, cash, and checks are also accepted.

    Reduced fee services are available on a limited basis.

  • If you do not show up for your scheduled therapy session and you have not provided minimum of 24 hours notice in advance, you will be charged a NO-SHOW fee of full price of your appointment.  Emergency’s are understood, please kindly communicate.  This is time I have set aside for you.  I am open to discussing any issues regarding this policy.

  • 988 Suicide & Crisis Lifeline⁠

    SAMHSA Suicide Prevention Resources⁠

    Suicide Prevention and Crisis Form