Helpful Forms

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 .

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Helpful Forms

Click here to view and print forms for your appointment.

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