Forms

If you're a new client, you can print out and complete the following forms and bring them to your first therapy session. I can also send you any of these forms to complete using a HIPAA-compliant, secure messaging system with digital signatures, whether or not you are a tele-counseling client.

• Client Information and History form
• Mandatory Disclosure Statement
• Information, Policies and Informed Consent form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please consider completing this form to authorize release of psychotherapy information: This is voluntary and I'm happy to answer any questions or concerns you may have.

• Release of Information form

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