New Clients:

Please Note: Payment is due at the time of service.
You must call me for your first appointment: 541.286.5330

Forms To Complete before your first appointment

1. Client Consent Form
2. The correct intake form below

Please print off, fill-out and sign the appropriate intake form for the type of counseling you are seeking. By completing these forms ahead of time, it will allow more time for discussion during our first meeting. Follow-up appointments are scheduled at the end of our first meeting and are generally set at a consistent day and time every week.

Adult Intake Questionnaire

As a couple you will be rewarded by filling this out prior to session so that we can spend the whole session discussing what brings you in. You may wish to read these forms a couple days ahead of our first appointment so that you have plenty of time to reflect.

Couples Intake Questionnaire  (Each person fills out their own form.)

Couples Intake Questionnaire Part 2 (Each person fills out their own form.)

 The form below is for clients to authorize information transfer between your Therapist and another professional.

Release of Information Request

Life Coaching:

As life coaching is designed to fit into your already busy life, please call me for scheduling your appointment(s). 541.286.5330

Returning Clients: