If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Information Form
- Credit Card Authorization Form
- Insurance Information Form
- New Client Intake Screening
- Notice of Privacy Practices Signature Page
- Practice Policies Signature Page
- Telehealth Consent
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.