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Welcome
Woman Standing on Dock
Woman Standing on Docks

Helpful Forms

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.

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Helpful Forms

Click here to view and print forms for your appointment.

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