Helpful Forms

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



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