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Helpful Forms

If you're a new client, please complete the following form and bring it to your first counseling/therapy session.

  • Client Psychotherapy Intake Form

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 information:

  • Authorization to Disclose Information Form
Client Psychotherapy Intake Form
Authorization to Disclose Information Form

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

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Helpful Forms

Click here to view and print forms for your appointment

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