If you are a new client, please complete the following forms and bring them to your first visit.
Adult
- Agreement for Services – Adult
- Client Information Form
- Notice of Privacy Policies
- Authorization to Release Information – If you would like me to coordinate care with another provider (for example, a psychiatrist, primary care physician, etc.), please complete this form.
Children
- Agreement for Services – Child
- Consent for Treatment of a Minor
- Child Client Information Form
- Notice of Privacy Practices
- Authorization to Release Information – If you would like me to coordinate care with another provider (for example, a psychiatrist, primary care physician, etc.), please complete this form.