Mountains
PeaceCOMES FROM WITHIN

Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Informed Consent to Therapy
  • HIPAA Client Rights

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


 

Client Psychotherapy Intake Form  
Informed Consent to Therapy  
HIPAA Client Rights  
 Authorization to Release Information Form  

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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