Forms


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

  • Client Intake
  • Consent for Treatment and Limits of Liability

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

  • Authorization to Disclose Information Form

Client Intake
Consent for Treatment and Limits of Liability
Authorization to Disclose Information Form

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