A New Day Counseling, Inc.

Behavioral Health Services for Individuals, Couples, & Families

Helpful Forms

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

  • Client Psychotherapy Intake Form (Adult or Child)
  • 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 (Release of Information Form)


Limits of Confidentiality/Therapy Cancellation Policy  
Screening Form to Begin Services (ALL New/Potential Clients Must Complete this Form)  

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