If you're a new client, please complete the following forms and bring them to your first therapy session.
- New Client Information
- Consent for Treatment
- HIPAA Acknowledgement
- HIPAA Notice of Privay Practices
Credit Card 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:
Note: To download Adobe Acrobat Reader for free, click here.