If you’re a new client, please complete the following forms and bring them to your first therapy session. A separate intake form should be completed by each member of the family.
– Notice of Privacy Practice
– Credit Card Authorization Form
– Client Intake Form
– Client Handbook
Please also read the Privacy Policies form which outlines privacy practices and your client rights.
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
– Developmental History for Gifted Pre-K-K Assessment Form