Services at a Glance:

Parent-Child Therapy
Individual Play Therapy
Parenting Guidance
School Observation
Teacher Consultation
Preschool Selection
In-Home Support

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Helpful Forms

If you're a new client, please complete the following forms and bring them to your first appointment.

  1. Consultation and Therapy Consent Form
  2. School Observation Consent Form 
  3. Social Emotional Assessment Consent Form 
  4. Telehealth Consent Form

If you would like me to coordinate your or your child's care with another provider (for example, an occupational therapist, school provider, couples therapist, pediatrician, psychiatrist, etc..), please complete this form to authorize release of  information:

  1. Release of Information Form

During the assessment phase, I may ask you to download and fill out these forms. I request that the forms are filled out separately by all parents, partners or other caretakers who are responsible for the child:

  1.  Survey of Parenting Practices
  2. Family Accommodation Scale Anxiety (FASA)
  3. Ages & Stages Questionnaire- Age 3
  4. Ages & Stages Questionnaire- Age 4
  5. Ages & Stages Questionnaire- Age 5
  6. Devereux Early Childhood Assessment Assessment (ages 3-5)
  7. Pediatric Symptom Checklist (for children ages 6-12)
  8. Preschool Anxiety scale (for children ages 3-5)
  9. Screen for Child Anxiety Related Disorders (for children ages 6-12)


Note: To download Adobe Acrobat Reader for free, click here .

Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE