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If you're a first-time client, please review and complete the following forms, bring them to your first session.
Consent to Treat Authorization/Fee Agreement Form
HIPAA Notice of Privacy Practices Form
Consent for Psychotherapy Form
Consent to Treat Minor Form
Directions for Private Office
Adult Intake Form
Child / Adolescent History - Parent Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
Protected Health Information Release Authorization
Note: To download Adobe Acrobat Reader for free, click here.
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