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New client forms

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

  • Psychotherapy Information and Disclosure Statement

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
   
   
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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