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Helpful Forms 

If you're a NEW client, you must complete the following forms and bring them to your first therapy session.


  • CLIENT INFORMATION FORM 
  • POLICIES AND INFORMED CONSENT FORM 
  • NOTICE OF PRIVACY PRACTICES
  • HIPPA NOTICE OF PRIVACY PRACTICE ACKNOWLEDGEMENT OF RECEIPT

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

  • AUTH0RIZATION TO SHARE PROTECTED HEALTH INFORMATION FORM

 


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Helpful Forms

Click here to view and print forms for your appointment.

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