If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Information Form
- Notice of Privacy Practices (sign and return page 3 only)
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
Client Information Form | |
Notice of Privacy Practices | |
Authorization to Disclose Information Form |
Note: To download Adobe Acrobat Reader for free, click here .