Helpful Forms

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

• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy
  
• Counseling Services Agreement

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

You will need to read the "Notice of Privacy Practices" prior to the first session.

Client Psychotherapy Intake Form

Limits of Confidentiality/Therapy Cancellation Policy

Authorization to Disclose Information Form

Counseling Services Agreement

Notice of Privacy Practices

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