Before meeting for the first session, please download, print, and fill out these forms and bring them to the appointment. Alternatively, you may arrive 20 minutes prior to your appointment time to fill out these forms at the office. Feel free to call us if you have any questions.
For couples, please each fill out the Adult Intake Form.
Please inform your clinician of any changes to your information at your earliest convenience.
The law protects the relationship between a client and a psychotherapist/psychiatrist, and information cannot be disclosed without written permission.
- Suspected child abuse or dependent adult or elder abuse. We are required by law to report this to the appropriate authorities immediately.
- If a client is threatening serious bodily harm to another person/s, we must notify the police and inform the intended victim.
- If a client intends to harm himself or herself, we will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, we will take further measures without their permission that are provided to us by law in order to ensure their safety.
24-Hour Cancellation Policy
Therapy works best when scheduled appointments are regularly kept. If you need to cancel an appointment, it is important that you contact our office and let us know as soon as possible about your need to cancel. Alternative appointments will be offered, if available.
If you do not show up for your scheduled therapy appointment, and you have not notified us at least 24 hours in advance, you will be responsible for the full out-of-pocket cost for the session. This fee is not reimbursed by insurance providers.
Crisis and Urgent Situations
We will respond to messages and phone calls as soon as possible. However, we do not provide urgent, crisis, or emergency services. If you are experiencing a life threatening crisis and require immediate assistance, dial 911, or go directly to your nearest emergency room immediately.
If you are feeling overwhelmed, but do not require hospitalization, you may call one of the following Mental Health Hotline numbers: 800-273-8255 (The National Suicide Prevention Hotline), 703-573-5679 (Fairfax County), 703-228-5160 (Arlington County), and 202-673-9300 (Washington, DC).
For less urgent matters or for scheduling issues, please leave a message on our voicemail or by email. Note that email is not a secure, confidential form of communication and should not be used for discussion of clinical issues or for urgent communications.