New Client Paperwork
1) Create a Portal account. Request an intake appointment.
You will need an account to e-sign other paperwork before your first appointment.
2) Place deposit on intake appointment.
3) Print Intake Forms. Have these forms complete by your first appointment.
For expedited intake, send Intake Forms via fax, (913)440-0309 or via email.
If sessions involve children from 14-18, print and complete Counseling with Minors Form.
Questions about any of the forms? Click here to e-mail me.
Intake Forms *
First-Time Visitors:
Additional form below is necessary only if sessions involve children between 14 and 18 years old.
Counseling with Minors Form
It is highly recommended to view the map below.
Other Forms & Policies
Authorization for Release of Confidential Information
Social Media Policy
HIPAA Notice of Privacy Practices
Office Location:
First-Time Visitors:
Office entrance is accessible only when approaching from the south.
Zoom in to see exactly where the office is.
It's very easy to miss!