If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Registration Form
- Client Adult Intake Form
- Adolescent Intake Form (ages 13-17)
- Client's Parent Intake Form (ages 13-17)
- Limits of Confidentiality/Therapy Cancellation Policy
- Notice of Privacy PracticeNotice of Privacy Practices- HIPAA
- Release of Information Form
- Therapy Goals
- Federal Notice Summary (HIPAA Rules)
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:
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