Language Selector
Español | English

my-img my-img

fb  tw
logo

Language Selector
Español | English

fb
  tw
Menu
slider

Helpful Forms

Dear Client,

With the purpose of entirely dedicating our initial meeting time to the subject of your consultation, we have made available to our clients, the initial package with the required forms in 2 formats.

Online: If it is your preference to complete the forms before your arrival, please let us know, to email you the code, so you may download, print and complete the forms to bring them completed to your first appointment.

On site/In our office: To avoid the hassle of downloading and printing  the forms, if you rather fill out the forms and questionnaires directly in our office, please plan on arriving  20 minutes earlier to your initial  consultation session, to have enough time to fill out  the forms. 

Please make note that the Spanish forms are only available on site. 

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like us 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

pdf

Client Psychotherapy Intake Form

 
pdf

Limits of Confidentiality/Therapy Cancellation Policy

 
pdf

Authorization to Disclose Information Form


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