If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Intake Form
- Cancellation Policy
- Informed Consent
- Consent to Treatment of a Minor
- HIPAA Acknowledgement of Receipt of Notice of Privacy Practices
- HIPAA Notice of Privacy Practices
- Mandatory Reporting Requirements
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.