Schedule an Appointment: (775) 790-7771 NV License: PY0674

Patient Forms

Below are forms you may download and fill out to save you time at the office.

Client Intake Form

Please fill out this biographical background form as completely as possible. It will help me in our work together. Information is confidential as outlined in the Agreement of Psychotherapy Form and the HIPPA Notice of Privacy Practices. If you do not desire to answer any questions, please write “N/A.” Please print or write clearly and bring this form with you to your first session.

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE
USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
INFORMATION.