If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
- Limits of Confidentiality/Therapy Cancellation Policy
- Consent and Agreement for Mental Health Testing and Evaluation
- Notice of Privacy Practices and HIPAA Consent Form
- Email consent form
- Payment Authorization Form
- Patient Information and Consent
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.
