If you are a new client (0r parent of a minor client), please complete the following forms and bring them to your initial assessment.
- Intake/Consent for Services
- Client Information Form
- Parent/Family Form
- HIPAA Notice
- HIPAA Signature Page
- Credit Card Form
- Notice of Confidentiality
- Telemental Health Consent
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:
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