Forms
If you’re a new client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
- Client Information and Disclosure Statement Form
- Adult Consent To Treat Form
- Adolescent Consent To Treat Form
- Confidentiality Statement Form
- Biopsychosocial/Personal History 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:
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