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
- Cancellation Policy
- HIPAA Policies
- Patient Acknowledgment and Receipt of HIPAA Privacy Practices and Consent for Use of Health Information
- Insurance Treatment Agreement
- No Insurance Treatment Agreement
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.