Helpful Forms

 

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

 

• Consent for Treatment Form    

• Client Psychotherapy Intake Form

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• Limits of Confidentiality/Therapy Cancellation Policy 

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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:

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• Authorization to Disclose Information Form

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• Notice of Privacy Practice

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