Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Patient Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form

Patient Psychotherapy Intake Form
Limits of Confidentiality/Therapy Cancellation Policy
Authorization to Disclose Information Form

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Helpful Forms

Click here to view and print forms for your appointment.

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