If you're a new in-office client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
- Disclosure Statement Form
- Privacy Practices Form
- Limits of Confidentiality/Therapy Cancellation Policy
For telecounseling clients you only need to click on the one form below and then follow the directions on this form:
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.