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Helpful Forms

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

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

 

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

  • Consent to Release Information Form

[NOTE TO WEBSITE OWNER (delete this before making page visible):  Please review our Legal Disclaimer before using these forms.]


Client Intake Form
Confidentiality and Cancellation Policy
Disclosure Authorization

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