If you're a new client, please complete the following forms and bring them to your first therapy session.
- New Client Background Information Form
After our initial meeting you may want to review the pamphlets:
- Information About My Practice
- Privacy 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 the release of psychotherapy information:
New Client Background Information Form |
Information to help me get to know you better. |
Information About My Practice |
Information about what you can expect from therapy and information about confidentiality. |
Privacy Policy |
Ways in which I protect the privacy of your health information in compliance with HIPPA regulations. |
Note: To download Adobe Acrobat Reader for free, click here.