Important Information For Your First Session

This page contains a checklist of forms that will be important to bring to your first session.  Having these forms completed will save us time and allow us to work together as efficiently as possible.  In addition to saving time, these forms will help me to get to know you.  (These files and many others are available on the Self Help for Mood Disorders page.)

Forms To Complete  (To Download PDF Files Right Click and Press "Save Target As")

1)  Client Questionnaire Download
2)  Consent to Treatment Download
3)  HIPAA Notice of Privacy Practices Download
4)  Intake Information Sheet Download
  5)  Financial Responsibility (Kentfield Clients Only) Download
6)  Gronowski Clinic - Consent To Treatment
 (Los Altos Clients Only)
Download

 If you believe you have a Mood Disorder...

        It would be very helpful to have you complete two other forms before your visit:
1) The Weekly Mood Graph Download  
2) The NIMH Retrospective Life Chart Download  

The Weekly Mood Graph will give me a picture of your daily mood shifts, while the NIMH Retrospective Life Chart will give me a picture of the history of your mood disorder including important markers such as major episodes, hospitalizations, major life events, starting medications, stopping medications, changes in medication and any use of alcohol or other substances.   More information on how to do mood charting is available in the "Mood Charting Manual". 
 

We are likely to spend 1-2 extended sessions together to complete an initial assessment of your problems.  These materials will be very helpful in our initial assessment together and in helping me understand your history.


I am looking forward to seeing you.