
Forms to Bring to Your First Appointment

I’d be honored to help you resolve your issues and create a better life.
Please complete the forms below & bring them to your first appointment.
History Form
All clients should bring the
completed history form to the initial appointment.
History Form
Privacy Information
This document describes the policies and practices to protect the privacy of your health information and should be read before the initial session.
Click here to download.
Privacy Information
Couples Questionnaire
If coming in as a couple, each partner should bring a completed Couple's Questionnaire (in addition to biographical forms) to the initial visit.
Click here to download.
Couples Questionnaire
Client Agreement
This document outlines Dr. Miller's office policies. It should be read, signed and brought to the initial session.