If you're a new client, please complete the following forms and bring them to your first therapy session.
Client Psychotherapy Intake FormInitial Interview Form
Brief Medical History
Informed Consent
Treatment Policies
Notice of Privacy Practices (HIPAA)
Acknowledgement of Receipt of Notice of Privacy Practices
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:
Authorization to Disclose Information FormAuthorization to Release Information - Insurance Co
Note: To download Adobe Acrobat Reader for free, click here .
