If you're a new client, please complete the following forms and bring them to your first therapy session.

• Agreement for Service / Informed Consent
• No Secrets Policy
• Notice of Privacy Practices
• Disclosure Statement
• Acknowledgement of Receipt of Notice of Privacy Practices 

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 Release Confidential Information Form
• Authorization to Exchange Confidential Information Form

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

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

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