Client Forms

Client Forms

New Clients:

Once you schedule an appointment with me, I will send you a link to my patient portal so you can fill out the required paperwork for my office.  If for some reason, you are not able to access the portal through Simple Practice, then please  read this HIPAA document that informs you of your rights and responsibilities based on federal laws: Federal HIPAA Disclosure Form. If you are a fertility patient and your clinic has required you to see me for a donor recipient/intended parent consultation, please read the Fertility Patient Informed Consent and Disclosure Statement so you know what to expect for your consultation visit.


Please download the Client Information Form, fill it out and bring it with you to your first appointment or email it to me at  Please note, all emails sent to me and from my office are encrypted and HIPAA compliant.

Other Forms for special situations:

If you want me to coordinate care with another healthcare provider (for example your primary care physician, psychiatrist, or fertility doctor) please download and fill out the Release of Information Form. Please bring it with you to your appointment.


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