If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
- Personal Information and Medical History
- Limits of Confidentiality/Therapy Cancellation Policy
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
- Acknowledgement of Privacy Practices Form
- Notice of Privacy Practices Form
- Online Practices Form
Note: To download Adobe Acrobat Reader for free, click here .