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
   

EPA Forms

• Adult Self Report Form EAP Form

• EAP Confidentiality Policies Form

• Contact Information Form

• Business Authorization Form

• HIPPA Form

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