Forms

If you are a new client, please complete the following forms and bring them to your first therapy appointment.

Intake Form

Informed Consent

Good Faith Estimate

Telehealth Consent and Instructions Form

Credit Card Authorization Form

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:

Consent to Release Confidential Information

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