If you're a new client, please complete the following forms and bring them to your first therapy session.
Please do not send your personal information to me via email as it is not a secure means of communication.
Informed Consent/Therapist Disclosure
- Client Psychotherapy Intake Form
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
|Informed Consent/Therapist Disclosure|
|Client Psychotherapy Intake Form|
|Limits of Confidentiality/Therapy Cancellation Policy|
|Authorization to Disclose Information Form|
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