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|
Note: To download Adobe Acrobat Reader for free, click here.