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.
Note: To download Adobe Acrobat Reader for free, click here.