Client Forms

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

The Acknowledgment of Privacy Practices is for your information. You may print a copy if you wish, but I do not need for you to return this form to me. I will ask you to sign an acknowledgement that it was provided to you at your first appointment.

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:

Note: To download Adobe Acrobat Reader for free, click here.