Patient Information
If you are a new patient, please fill out this new patient information form.
If you are a new patient, please fill out this new patient intake form.
Patient Intake
Permission to Contact
Please complete this form to give me permission to contact past providers about your care.
Patient Insurance
Please complete this form if you would like me to submit insurance claim to your insurance for you.
Please review and complete this Informed Consent Checklist for Telepsychological Services prior to starting video-conferencing services.
Informed Telehealth Consent
Please review and complete this Office Policies Agreement.
Office Policies Patient Agreement
Orientation to Working with Emotionally Focused Couples Therapy
The main goal of EFT, if you are a couple who wants to stay together, is to re-form your relatinship so as to create a mutually safe and secure bond, where each of you experiences your partner as both accessible to you, open with you and responsive to your emotional signals and needs. Please download the following two pages and review prior to our first sesussion. I’m happy to answe any questions you may have.
Click here to download page 1.
Click here to download page 2.
I also invite you to view this short film about couple therapy and what to expect.
Recommended Reading
Below are a few books I recommend to all the couples I work with:
Becoming Attached by Robert Karen
Hold Me Tight by Sue Johnson
Love Sense by Sue Johnson
The General Theory of Love by Fari Amini, Richard Lannon, and Thomas Lewis
When the Body Says No by Gabor Mate
EFT for Dummies by Furrow and Bradley
An Emotionally Focused Workbook for Couples by Veronica Kallos- Lilly and Jennifer Robyn Fitzgerald
The Roller Coaster of Emotions in Couples Therapy by Susan Thau Phd PsyD and Sondra Goldstein PhD