Intake Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. If you are coming in for couples therapy, each partner needs to fill out a form.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like for me to coordinate care with another provider (for example, your psychiatrist or primary care physician), complete this form to authorize release of psychotherapy information.

  • Authorization to Disclose Information Form
Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

Note: To download Adobe Acrobat Reader for free in order to open these forms on your computer, click here.

 

 

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