If you're a first-time client, please review and complete the following forms, bring them to your first session.
- Client Intake Form
- Limits of Confidentiality/Cancellation Policy Form
- HIPPA Privacy Practice Form
- Minor Consent to Treat Form
- Psychotherapy Release Authorization Form
- Insurance Information Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
- Consent to Release Information Form
Consent To Treat
Consent to Start Treatment
Parent Coordination Agreement - ONLY used With Court Order
PC agreement - binding
Note: To download Adobe Acrobat Reader for free, click here.
