Forms

Below is a copy of our most requested forms:

• 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

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

• Once you have scheduled an intake appointment, you will be given a login to my client portal. Consent for treatment and your intake forms will be available through my client portal and need to be completed prior to your first session. If you do not have internet, please let me know when we set up your intake appointment.