Forms

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

• Medical history complete form.pdf
• 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: This includes teachers and schools.

• Authorization to Disclose Information Form
• What you need to get started video

Note: To download Adobe Acrobat Reader for free, click here.