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If you're a new client, please complete the following forms found in the six links below and bring them to your first session.
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Consent for Treatment
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Office Guidelines
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Client Psychotherapy Intake Form
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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. Regardless, please read Patient Rights and HIPPA Authorizations (page 2 of 2)
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Authorization to Disclose Information Form
- For Couples Only: No Secrets Policy
Note: To download Adobe Acrobat Reader for free, click here.
userfiles/581955/file/Consent%20for%20Treatment.pdf
userfiles/581955/file/NoSecretsPolicy.pdf
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