If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Counseling Intake Form
- Telemedicine Consent
- Professional Disclosure
- Transmission Of Protected Information
- Limits of Confidentiality/Counseling 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 release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here .