Forms

Forms

If you're a new patient, please complete the following forms and bring them to your first therapy session .

* Consent to Treatment
* Confidentiality Form
* Psychotherapy Intake 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:

* Coordination of Care

For your information, here is a link to your rights as a patient.

* Client Bill of Rights

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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