If you're a first-time client, please review and complete the following forms, bring them to your first session.
- Client Intake Form
- Limits of Confidentiality/Cancellation Policy Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
- Consent to Release Information Form
Please insert your Insurance information at the top of the intake form.
- Name of Insurance Co. and Id #.
|Client Intake Form|
|Confidentiality and Cancellation Policy|
|Consent to Release|
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