Helpful Forms For Your Nextstep

New clients, for the next step in your recovery it would be helpful if you would complete the following forms and email or mail to me before 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



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

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Helpful Forms

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