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Helpful Forms

If you're a first-time client, please review and complete the following forms. Please bring them completed, signed and dated to your first session.

Client Intake Form
Limits of Confidentiality/Cancellation Policy Form
Limitations on Confidentiality in Couple or Family Therapy
Client Email/Texting Informed Consent  Form
Telemedicine Informed Consent Form


If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), please complete this form:

Consent to Release Information Form

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

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Helpful Forms

Click here to view and print forms for your appointment.

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