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Helpful Forms

If you're a new client, it's helpful if you please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality
  • Binding Agreement Regarding Court Appearances or Records for Legal Proceedings

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

  • Authorization to Disclose Information Form

Client Psychotherapy Intake Form

Limits of Confidentiality

Authorization to Disclose Information Form

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

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Helpful Forms

Click here to view and print forms for your appointment.

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