Resources & Forms

Resources & Forms


Anxiety and Depression Association of America, with information and resources related to the whole range of anxiety disorders and their treatment, including a “find a therapist” search engine

Association for Behavioral and Cognitive Therapies, with information on cognitive and behavioral therapies, the disorders they treat, and a “find a therapist” search engine

Association for Contextual Behavioral Science, with information and tools related to Acceptance and Commitment Therapy, including a “find a therapist” search engine

David Burns’ website, with free resources related to TEAM-CBT

David Burns’ Feeling Good Podcasts

International OCD Foundation, with information and resources for people struggling with OCD and related conditions, like Body Dysmorphic Disorder, Olfactory Reference Syndrome, Trichotillomania, Skin Picking, or Hoarding Disorder.  There is also a “find help” search engine.

Inference-Based Approach to treating OCD, this website gives a brief introduction to what has come to be called “I-CBT,” or Inference-Based Cognitive Behavioral Therapy, an approach to treating OCD that helps individuals become aware of the choice they face when they cross over the bridge between the Land of Here and Now and the Land of the Imagination, where OCD exists.  This approach is an alternative to Exposure and Response Prevention (ERP) but can also be used to supplement ERP.

OCD Stories, with podcasts on the many facets of OCD.  The podcasts feature interviews with those who suffer from OCD and therapists who treat OCD.  There’s a lot of overlap between the two groups!

Peace of Mind Foundation, with information and resources for those with OCD, including some wonderful explanatory videos.

The Ashton Manual on Benzodiazepine Withdrawal, with detailed information on the long-term effects of benzodiazepines and exactly how to taper off of benzodiazepines safely, in a way that minimizes withdrawal symptoms.

ACT with Compassion, with free resources that can help you develop self-compassion

The Compassionate Mind Foundation, with free resources to help foster compassion towards yourself and others

Center for Mindful Self-Compassion, offering trainings in mindful self-compassion, as well as free online meditations and other resources 


Below are some of the forms that I will ask you to complete prior to our initial appointment.
Intake Form (pdf/Word format)
  • This detailed form asks you for information about your family, personal, medical, and mental health history.  Please complete it and send it to me at least one week prior to your initial evaluation, in order to save us time during the evaluation.
Authorization to receive or disclose information (pdf/Word format)
  • This form can be used to authorize the release of information to me from past or current providers.  Please try to have relevant records sent to me prior to the initial appointment, so that I have an opportunity to review them in advance.
Notice of Privacy Practices (pdf)
  • This form is provided to you as a requirement of the Health Insurance Portability and Accountability Act (HIPAA).  Please review it prior to our first appointment.  If you have any questions about its contents, I would be happy to review them with you in person.
Practice Policies (pdf/Word format)
  • This form reviews my practice policies and asks you to indicate whether you agree or disagree with each policy–or need an opportunity to discuss them further with me.  Please read and complete this form at least one week prior to the initial appointment and send me a copy.  If you have any questions about the contents, I would be happy to review them with you in person.
Contact information form (pdf/Word format)
  • Please send me the completed form prior to your initial appointment.
Teletherapy consent form (pdf/Word format)
  • This form explains the benefits, risks, and alternatives to engaging in teletherapy.  Please read it prior to your initial evaluation.  If you have any questions about it, I’d be happy to answer them when we meet.  Please sign the form after you’ve had all your questions answered, and send me a copy.
Contract for Medicare Beneficiaries (pdf/Word format)
  • This contract is for Medicare beneficiaries only.  It acknowledges your understanding that I have opted out of Medicare and asks you to agree that you will not submit any invoices to Medicare for reimbursement.  If you do have Medicare insurance, please read and sign it prior to your initial evaluation, and send me a copy.