New client forms

Below you can find all the forms you'll need to start our work together. 
Please review each form carefully and  bring the completed documents and signature pages with you to your first session.
Client information form

Tell me about yourself.

release of information

As needed, allow me to talk with others in your treatment and your life.

Hipaa consent

Notice of patient privacy practices.

Review for your records.  Signed HIPAA Consent is included in the Therapy Agreement.

therapy agreement

Policies for outpatient services.  

Print and sign the last page of this form after reading.  Bring to intake session.

We respect your privacy. You can unsubscribe at any time. 

In cases of emergency, dial 9-1-1.
Visit resources for immediate care. 
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