If you're a new client, please complete the following forms and bring them to your first therapy session. Due to COVID-19 all sessions are being conducted by telehealth until further notice. I appreciate your understanding and encourage you to follow the CDC recommendations.
- REGISTRATION FORM
- REASON FOR CONSULTATION
- BIOPSYCHOSOCIAL HISTORY
- CANCELLATION POLICY
- EMERGENCY CONTACT FORM
- CONSENT/AUTHORIZATION FOR TELETHERAPY SERVICES
- INFORMED CONSENT FOR TELETHERAPY SERVICES
- INSURANCE CONSENT 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:
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