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Helpful Forms

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 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.

Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE