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
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.