If you're a new client, please complete the following forms and bring them to your first therapy session.
For Kana's Clients:
All Clients must fill out the psychotherapy intake and consent forms below:
Please print the following form with the above forms if client is a minor.
If you would like me to coordinate care with another provider complete this form to authorize release of psychotherapy information:
For Clients of Kevel, Brian, Vanessa or Debbie
All Clients must fill out the psychotherapy intake and consent forms below:
Please print the following form with the above forms if client is a minor:
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.