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

Consent for Services



Client Intake Form

 

*Notice of Privacy Practices 

(*Please read this Notice; however, it is not necessary to print unless you would like a copy for your own records.)

Receipt and Acknowledgment of Notice



Electronic Communication Consent


 
Outcome Rating Scale

If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Release of Confidential Information




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