Forms & Documents

Here you can download a copy of my professional resume and  a listing of post-doctoral educational workshops I have attended.  New clients should download a copy of the psychotherapy contract and the intake form to bring to the initial evaluation appointment.  If you prefer, you may fax or email this information in advance.  Please read the psychotherapy contract carefully as it outlines the roles of both therapist and client as well as providing a detailed description of the limits of confidentiality.  If you have questions about the content of this document, please be sure to discuss these concerns at the time of the first appointment.

 

Intake Form

Intake Form.pdf
Adobe Acrobat document [64.7 KB]

Psychotherapy Contract

Psychotherapy contract 12:16.pdf
Adobe Acrobat document [79.3 KB]

New Mexico Health Connections Insurance Form

NMHC Insurance Information.pdf
Adobe Acrobat document [48.5 KB]

Professional Vita

Humes Vita 2016.pdf
Adobe Acrobat document [70.6 KB]

Dialectical Behavior Therapy (DBT) Worksheets

DBT Skills Worksheets.pdf
Adobe Acrobat document [47.1 KB]

Permission for Release of Priviledged Information

Consent for Disclosure of Records
Consent for Disclosure of Records.pdf
Adobe Acrobat document [85.0 KB]