Forms
If you're a new client, it is helpful to get background information to better understand your situation. Please complete the following forms and bring them to your first consultation session. Please note that these forms may take some time to fill out. If you are unable to print these forms, I will have them ready for you to fill out during our first meeting. Please arrive early so you may review them while in the waiting room. Any questions regarding these forms may be addressed during our session.
| INTAKE FORM |
| AUTHORIZATION FORM |
| SERVICE AGREEMENT |
| DISCLOSURE 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.