Client Forms

Below are forms you can either download and fill out or submit online.

New Client Forms

  1. Client Questionnaire
  2. Notice of Privacy and Confidentiality Practices
  3. Office Policy
  4. Authorization for Release of Confidential Information

Please submit your information for your first appointment.

Submit Online | Download PDF

Authorization for Release of Confidential Information

Submit Online | Download PDF

Download Notice of Privacy and Confidentiality Practices

Terry

"There's no way to grow without taking a few risks."

Body + Soul Magazine

Unknown

"At any given moment you have the power to say: This is not how the story is going to end."

Unknown

Chinese Proverb

"The person who removes a mountain begins by carrying small stones."

Chinese proverb

Oscar Wilde

"To love oneself is the beginning of a lifelong romance."

Oscar Wilde

Ralph Waldo Emerson

"All Life is an experiment. The more experiments you make the better."

Ralph Waldo Emerson

Henry David Thoreau

"Not until we are lost do we begin to understand ourselves."

Henry David Thoreau

Slide I have known Karen for many years and have shared many cases with her. She is an excellent therapist, collaborator and colleague. Karen is trained in many clinical arenas with specific expertise in CBT, DBT, OCD and eating disorders. She is a delightful person and therapist and you would be lucky to have an opportunity to work with her. I am very grateful to have the opportunity to work with her.
Beth Mayer, LICSW, Executive Director, MEDA
Slide Karen is knowledgeable, professional and empathetic. Working with her has been immensely helpful and rewarding in countless ways. It is no exaggeration to say that Karen's help has contributed significantly to my developing a richer and happier life.
Current client
Slide Karen has been a longtime trusted CBT colleague of mine. We share Diplomate status in the prestigious Academy of Cognitive Therapy. I have collaborated with Karen on numerous occasions and have valued her clinical expertise and professional demeanor. Karen is a compassionate and creative therapist, and I would highly recommend her to anyone who is looking for a skilled CBT therapist.
Daniel Beck, LICSW and Founding Fellow and Diplomate of The Academy of Cognitive Therapy
Slide I have worked with Karen for several years and it has changed my life in ways I could not imagine. Through her recognition of my alcohol misuse and encouragement to get sober, I have discovered an inner strength that I did not know I had. Her expertise in eating disorders and trauma recovery has distinguished her as an exceptional therapist. I am so grateful for Karen’s support, compassion, and guidance during my journey towards recovery.
Current Client