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 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.