If you're a new client, please complete the following forms and forward them by email or fax prior to your first therapy session.
- Client Intake Form
- Client Information and Office Policies
- Consent to Use and Disclose Your Health Information
- Notice of Privacy Practices
- Telehealth Consent
- Authorization to Disclose Information 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:
Note: To download Adobe Acrobat Reader for free, click here .