New Patient Form

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

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• Client Psychotherapy Intake Form

• Limits of Confidentiality/Therapy Cancellation Policy

• Insurance Information

• Client Consent and Agreement to Receive Psychological Services

• Patient Bill of Rights/Responsibilities
   

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:

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• Authorization to Disclose Information Form

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