If you're a new client, please complete the following forms and bring them to your first therapy session.
- Consent and Cancellation Policy
- HIPPA Notice
- Intake Questionnaire
- SNAP Questionnaire
- VIDEO Sessions
- Credit Card Authorization Form
- List of Symptoms
- Mandatory Reporting Requirements
- BASIS-32 Form
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:
Note: To download Adobe Acrobat Reader for free, click here.