When you are visiting me for the first time, in the interest of maximizing our time together, please print, fill out and bring the following two forms (ie Client Questionnaire & Agreement for Service-Informed Consent) with you to our first session. If you have any questions or concerns, we will go over them together. Click each to download:
Agreement For Service-Informed Consent
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please complete the following form authorizing me to release/exchange/disclose your psychotherapy information.
Authorization For Exchange-Release-Disclosure Of Protected Health Information