Helpful Forms

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

• Informed Consent 
• Credit Card Authorization
• Adult Intake Form

If you are the parent of a minor client, please complete the following forms and bring them to your first therapy session.  

• Informed Consent
• Credit Card Authorization
• Child Intake Form

If your child is a teenager, please have him/her complete the following forms and bring them to the first appointment.
 

• Teen Intake 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:

• Authorization to Disclose Information Form

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