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Intake Forms

If you're a new client, please complete the following Client Intake Packet and bring this to your first therapy session.

Client Intake Packet:

  • Client History & Information
  • Informed Consent
  • Notice of Privacy Policy (HIPAA)
  • Credit Card Authorization
  • **Release of Information

**If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the Release of Information Form in the Intake Packet.

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

 

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Helpful Forms

Click here to view and print forms for your appointment.

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