Forms

If you’re a new client, please print and complete the following two forms and bring them to your first therapy session.

  • Client: Psychotherapy Intake Form (listed below)
  • Client: Inform & Consent (listed below)
  • 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. Please print this form and bring it to your session.
  • Authorization to Disclose Information Form