Helpful Forms

If you're a new client, and want to save time during your first session, please print out and complete the following two forms, then bring them to your first therapy session.

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


In addition, 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 Psychotherapy Intake Form
Limits of Confidentiality/Therapy Cancellation Policy
Authorization to Disclose Information Form

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

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Helpful Forms

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