If you're a new client, please complete the following forms and bring them to your first therapy session.
- Individual Psychotherapy Intake Form
-
Limits of Confidentiality/Therapy Cancellation Policy/HiPAA
- Gottman 17 Areas Scale/Marital Counseling Intake 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:
Note: To download Adobe Acrobat Reader for free, click here.