If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
- Disclosure Statement & Agreement for Services
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
- Authorization to Disclose Information Form
Client Psychotherapy Intake Form |
Disclosure Statement & Agreement for Services |
Authorization to Disclose Information Form |
Notice of Privacy Practices |
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