FORMS

All patients are required to complete a New Patient Intake form and if sessions are conducted through Telehealth, a Telehealth Consent form. Please click to download copies of these forms.

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

• Client Psychotherapy Intake Form

• Limits of Confidentiality/Therapy Cancellation Policy

• COVID-19 Disclosure Form
  
  

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