If you are a new client, please complete the following forms and bring both to your first therapy session:
- Client Information Form (if a couple, one form for each partner please)
- Treatment Authorization & Consent (please initial each page and sign)
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.