Helpful Forms

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

• Client Psychotherapy Intake Form
• Telemedicine Informed Consent
• Limits of Confidentiality/Therapy Cancellation Policy
• Office Policies
• Notice of Privacy Practices
• Receipt and Acknowledgement 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 Form

Client Psychotherapy Intake Form

Telemedicine Informed Consent

Limits of Confidentiality/Therapy Cancellation Policy

Office Policies

Notice of Privacy Practices

Receipt and Acknowledgement of Notice of Privacy Practices

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