Forms

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

• Client Intake Form
• Client Symptom Checklist
• Consent for Treament & Limits of Confidentiality/ 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:

• Authorization to Disclose Information Form

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