If you're a new client, you will need to complete some combination of the following forms - depending upon what type of services you will receive. After scheduling our first session, I will let you know which forms need to be completed. Please complete them and bring them to our first therapy session.
- Intake Form - Adult
- Intake Form - Minor
- Consent for Clinical Treatment Form - Adult
- Consent for Clinical Treatment Form - Minor
- Agreement Regarding Minor Children
- Notice of Privacy Practices Form
- Credit Card Authorization 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:
- Consent for Release of Information
Note: To download Adobe Acrobat Reader for free, click here.