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Helpful Forms

If you are a new individual client, please complete the following forms and bring both to your first therapy session:


For couples therapy, please complete the following forms and bring all three to your first therapy session:


A HIPAA statement can be found here: 


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 note that a release is required from both partners to release any psychotherapy information about couples therapy.


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