If you are a new client, please download and complete the
"Adult Intake Form" highlighted below and bring it with you to the first counseling appointment.
If you are considering group counseling, please complete the
"Group Counseling Interest Form" below.
Please complete this: Adult Intake Form if you are a new adult client.
In addition, please complete this: Group Counseling Interest Form if you
are interested in participating in Group Counseling offered by Randy.
Please note: Group Counseling participants must first complete an intake
assessment with Randy prior to starting Group Therapy.
If you would like Randy to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the "Authorization to Disclose Information Form" highlighted below to authorize release of psychotherapy information.
Authorization to Disclose Information Form
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