If you're a new client, please complete the following forms and bring them to your first therapy session.
- Personal/Client Information Form
- Consent to Treat form
- HIPPA Information
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
Personal Information Form |
|
Child or Teen Information Form |
|
Informed Consent |
|
Consent to Treat Minor | |
Authorization to Disclose Information Form | |
HIPPA Information |
Note: To download Adobe Acrobat Reader for free, click here .