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

• Psychotherapy Information Disclosure Statement 

              userfiles/649812/file/PSYCHOTHERAPY INFORMATION DISCLOSURE STATEMENT(1).pdf

• Client Information Form 

             userfiles/649812/file/Form 24-Client Information form 1.pdf
 

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:

• Authorization to Disclose Information Form 

             userfiles/649812/file/Request_authorization to release confidential recor.pdf

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