Helpful Forms

If you are a new patient,  please review and sign the following forms and bring them to our initial consultation session.

Psychotherapy Intake Form

Limits of Confidentiality/Therapy Cancellation Policy

I believe in a collaborative treatment model. If you would like me to reach out and connect with another provider (for example, your psychiatrist, primary care physician, or other alternative health practioners, etc.), please complete this form to authorize the release of your health information:

Authorization for Release of Information Form



Note: To download Adobe Acrobat Reader for free, click here .




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Helpful Forms

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