Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session.

  • Client Intake Form

  • Limits of Confidentiality/Cancellation Policy Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information Form

Client Intake 
Limits of Confidentiality/Cancellation
Consent to Release Information
Informed Consent for Therapy
Authorization for Use or Disclosure
Adolescent Biographical Information
Adult Biographical Information
Notice of
Privacy Practices
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