If you're a new client, please complete the following forms and bring them to your first therapy session.
- Acknowledgment of Privacy Practices
- Client Registration Form
- Financial Policy and Missed Appointment Policy.pdf
- Hippa Form
- /userfiles/5739732/file/Informed Consent with telehealth and covid policy.doc
- Release Form
- Professional Disclosure Statement
- Client Rights
- 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.