Helpful Forms

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

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
I f you would like to leave a credit card on file for convenience, complete the Credit Card on file form and bring with you to appointment.
Credit Card on File Form

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

Links & Resources

View recommended websites and other valuable resources.

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