If you're a new client, please complete the following forms and bring them to your first therapy session.
- 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, primary care physician, etc.), complete this form to authorize the release of psychotherapy information:
- Authorization to Disclose Information Form
|Client Psychotherapy Intake Form|
|Limits of Confidentiality/Therapy Cancellation Policy|
|Screening Form to Begin Services (ALL New/Potential Clients Must Complete this Form)|
Note: To download Adobe Acrobat Reader for free, click here.
If you are a current client, provider, or stakeholder, please feel free to provide us with feedback to help us with the services we provide. Thank you. This is the information you will need. login 10060523 passwords andc12