If you're a new client, please complete the following forms at least 48 hours prior to your first therapy session. Alternately, you may print & bring the forms to your first session (see printable forms below).
- Personal Information Form
- Medication Form
- Limits of Confidentiality Form
- Acknowledgement of Privacy Practices
- Therapy Cancellation Policy
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:
If you are attending a group, please complete the following additional forms:
|Personal Information Form|
|Limits of Confidentiality|
|Acknowledgment of Privacy Practices|
|Therapy Cancellation Policy|
|Authorization to Disclose Information|
|Group Counseling Form|
|Group Information Packet & Contract|
Note: To download Adobe Acrobat Reader for free, click here.