If you're a new client, please complete the following forms and bring them to your first therapy session or email to [email protected]
- Adult Self Report Form
- Parent/Guardian Report
- Youth Self Report Form (ages 12-17)
- Consent for Treatment/Therapy Cancellation Policy
- HIPAA Notice of Privacy Practices
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.