If you're a new client, please complete the following forms and bring them to your first therapy session.
- Professional Disclosure Statement
- Optional Consent to Disclose Personal Information for Professional Clinical
- Credit Card Authorization
- Informed Consent for Telehealth Services
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:
Note: To download Adobe Acrobat Reader for free, Click here.