
If you're a new client, please complete the following forms and bring them to your first therapy session.
- Office Policies Form
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HIPAA Form
- Adult Intake Form
- Adolescent Intake Form
- Insurance Release Form
- Credit Card Authorization Form
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.