Helpful Forms

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

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

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

[NOTE TO WEBSITE OWNER (delete this before making page visible):  Please review our Legal Disclaimer before using these forms.]


Client Psychotherapy Intake Form
Limits of Confidentiality/Therapy Cancellation Policy

Authorization to Disclose Information Form


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Helpful Forms

Click here to view and print forms for your appointment.

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