If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
- Discharge Notice
- Client Rights Information
- Notice of Privacy Practices
- Grievance Policy
- Initial Patient Questionnaire
- Release Form
- Disclosure Statement
- Marital Questionnaire
- Operation/Crisis Plan
- Parent Questionnaire
- Verification 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:
Note: To download Adobe Acrobat Reader for free, click here.