Client Forms

Request a Callback

Get a Call

Click on the Link Below to Download the PDF

If you are new, please be sure to fill out the following forms, and bring them to your first session.
This will help ease you in and allow as much time as possible to focus on you.

Client Intake Form

Information Sheet

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

To make a referral please complete form and fax to (608) 783-0242

Referral Form

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