Forms

These are the forms that you might find useful during therapy.  Please fill out the top four forms (either the adult or child intake; the psychologist-client agreement; the HIPAA form; and the telehealth form) before your first appointment. 

 If you would like me to communicate with or get records from another therapist or agency, please fill out the ROI form (as this form can be a little confusing, you can contact my secretary at (808) 747-3445 for assistance with the ROI form).  

Forms can be submitted by fax (808) 443-5196, snail mail: PO Box 11339, Hilo, HI 96721, or you can contact me and I will send you an encrypted e-mail for you to submit them confidentially by e-mail (contact me at 747-3445 to let me know you need the encrypted e-mail link).  

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