If you’re a new client, please complete the following forms and bring them to your first therapy session. If you are a couple, each complete the intake form.
- Client Psychotherapy Intake Form
- Limits of Confidentiality/Therapy Cancellation Policy
- Privacy Practices and Privacy Statement
- Counseling Informed Consent
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:
Note: To download Adobe Acrobat Reader for free, click here.
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