If you're a new client, please complete the following forms and bring them to your first counseling/therapy session.
- Client Counseling Intake Form
-
Personal Disclosure Statement
- Credit Card Authorization Form
- Limits of Confidentiality/Therapy Cancellation Policy
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 counseling/therapy information:
Note: To download Adobe Acrobat Reader for free, click here.