Helpful Forms

If you're a new client, please complete the following forms at least 24 hours prior to your appointment.  Include the "Consent to Treat a Minor" for clients 18 and under.

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:

If you have recently visited our office, please complete our Client Satisfaction Survey:

If you are a provider's office referring a client use this form:

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

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Helpful Forms

Click here to view and print forms for your appointment.

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