If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Intake Form
- Informed Consent for Psychotherapy
- Insurance Authorization Form
- HIPPA Notice of Privacy (for informational purposes-no need to print out)
- Acknowledgement of Receipt of Privacy Practices Notice
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:
Note: To download Adobe Acrobat Reader for free, click here.