Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. If you are coming in for a couple's session, family or group session, each person must fill out their own New Client Form and sign the Signature Form that states you have read the HIPAA Policy and Informed Consent forms.

HIPAA Policy - PLEASE READ

Informed Consent - PLEASE READ

New Client Form

Signature Form

Telemental Health Informed Consent

Credit Card Authorization Form

Office Disclosure Notice Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), or if you'd like me to consult with a former therapist, please complete this form to authorize release of psychotherapy information:

Release of Information

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