Helpful Forms

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

  • Client Psychotherapy Intake Form
  • HIPPA-Notice of Privacy Practices
  • Social Media Policy
  • Limits of Confidentiality/Therapy Cancellation 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:
  • Authorization to Disclose Information Form
For Couples, both parties are asked to complete the forms below.
  • No Secrets Policy
  • Couple's Information Form
 

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Client Psychotherapy Intake Form  
HIPPA-Notice of Privacy Practices  
Social Media Policy  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorizaion to Disclose Information Form  
No Secrets Policy  
Couple Information Form