Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. Please note that after you click on the Consent form it may appear as a link at the bottom of the page.

• Intake Form
• Consent Form (review and sign)
• Notice of Privacy Practices
• Notice of Privacy Practices Receipt Form (sign to acknowledge receipt of Notice of Privacy Practices)
• Cancellation Policy (review and sign)
  

I f 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

• Note: To download Adobe Acrobat Reader for free, click here .