If you're a new client, please copy and complete the following forms and bring them to your first therapy session.
- Client Intake Form
- Assignment of Insurance Benefits
- Statement of Client Responsibilities
- Registration Information
- Medication Log
- Consent of Use of Mental Health
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:
Note: To download Adobe Acrobat Reader for free, click here.