If you're a new client, please complete the following forms and email them back to me at [email protected] I prefer this method because it avoids reviewing or filling in forms during our first session.
- Client Psychotherapy Intake Form
- Limits of Confidentiality/Therapy Cancellation Policy
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, past counselors or therapists, 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 .