If you're a new potential client, please complete the following three forms and bring them to your first therapy session.
- Client Information Form
- Checklist of Concerns
- Limits of Confidentiality/Therapy Cancellation Policy
|Client Information Form|
|Checklist of Concerns|
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this additional form to authorize release of psychotherapy information:
- Authorization to Disclose Information Form
|Authorization to Disclose Information Form|
Note: To download Adobe Acrobat Reader for free, click here .