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Helpful Forms for Your Next Step

New clients, for the next step in your recovery it would be helpful if you would complete the following forms and bring them to our first therapy session:

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would also like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of information for continuity of treatment:

  • Authorization to Disclose Information Form

Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

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