Helpful Forms

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

• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your primary care physician, etc.), complete this form to authorize release of psychotherapy information:

• Authorization to Disclose Information Form

Client Psychotherapy Intake Form

Limits of Confidentiality/Therapy Cancellation Policy

Authorization to Disclose Information Form

Insurance Form

How to Live Well

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