Forms

If you are a new client, please complete the following forms and bring them to your first session:

• Informed Consent for Psychotherapy Services
• Client Intake Form
• Client Contact Information
• Consent to Treat a Minor (if your child is 18 or younger and receiving services)

If you would like me to coordinate care with another provider (ie: psychiatrist, primary care physician, school counselor, etc) please complete the following form to authorize release of information and collaboration between providers:

• Authorization for Release/Exchange of Information