Helpful Forms

 

If you are a new client please fill out and bring these forms to your first therapy session:

Consent & Cancellation Form

Psychotherapy Intake Form

Limits of Confidentiality

If you would like to participate in Teletherapy please fill out this form:

Consent for Telemedicine Form

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:

Disclosure Forms