Forms

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

• Client Psychotherapy Intake Form
• Mood Disorder Questionnaire
• Client Rights
• Limits of Confidentiality/Therapy Cancellation Policy
• Acknowledgement of Privacy 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:

• Authorization to Disclose Information Form

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