Helpful Forms

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

• Limits of Confidentiality/Therapy Cancellation Policy

• Symptom Measure Adult

• Symptom Measure 11-17

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

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