Helpful Forms

Please print and complete all forms.

Scan completed forms and email to [email protected]

• Telehealth Informed Consent Form
• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation 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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