If you're a new client, please complete the following forms and bring them to your first therapy session or psychiatric evaluation.
- New Patient Intake Form
-
Limits of Confidentiality/ Cancellation Policy
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:
- Authorization to Disclose Information Form
Client Psychotherapy Intake Form |
Limits of Confidentiality/Therapy Cancellation Policy |
Authorization to Disclose Information Form |
Note: To download Adobe Acrobat Reader for free, click here .