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Couple by a Lake
Couple by a Lake

Helpful Forms

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).

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:

Printable Forms

Personal Information Form  
Medication 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.

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Helpful Forms

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