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Helpful Forms

If you're a new client, you may complete a form I can send you in advance or you may complete it in my office at the time of your appointment.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

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

  • Authorization to Disclose Information Form

  Client Psychotherapy Intake Form
  Limits of Confidentiality/Therapy Cancellation Policy
  Authorization to Disclose Information Form

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

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Helpful Forms

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