Helpful Forms 2017-06-12T22:18:21+00:00

If you’re a new client, please complete the following forms and bring them to your first appointment.

Client History and Information
Client Consent for Treatment
HIPPA Agreement

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:

 

Authorization to Disclose Information Form

“We all have the capacity to heal, as long as we have the desire”