FORMS

If you are a new client please complete the following forms and bring them for your first therapy session.

  1. Client Psychotherapy intake Form
  2. Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for your psychiatrist, primary care physician, etc,) complete this form to release information:

Authorization to Disclose Information Form

PDF file – Client Psychotherapy Intake Form

PDF file – Limits of Confidentiality/Therapy Cancellation Policy

PDF file – Authorization to Disclose Information Form