If you're a new client, please complete the following forms and bring them to your first therapy session if in person. Otherwise, please scan/take pictures and attach to email to [email protected] before teletherapy/virtual initial session.
- Client Intake and Information Form
- Your Copy: Notice of Privacy Practices
- Acknowledgement of receipt of privacy practices
- Informed consent
- Informed consent teletherapy
- Informed tx of consent for minors
- Fee agreement
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 .