If you're a new client, please complete the following forms and bring them to your first therapy session.
Demographic Information
Consent for Treatment
Notice of Privacy Practice
Client Psychotherapy Intake Form
L imits of Confidentiality/Therapy Cancellation Policy
Substance Abuse Forms:
Drug Testing Consent
DAST
MAST
Client Self Report1
Client Self Report2
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
Note: To download Adobe Acrobat Reader for free, click here.
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