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Helpful Forms

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


Client Intake Form
 
 
HIPAA Form
 
Treatment Contract
 


Below is an interview form we may go over in our meeting.  If you would like to review it prior to our appointment, please do.

 

 

Interview 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 counseling information:
 

Release of Information


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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