Forms marked with an asterisk (*) are required for all new clients. If you are participating in couples therapy, each member of the couple should complete a set of forms.

 

CLIENT INFORMATION FORM*

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Please download this form, fill it out, and bring it with you to our first meeting. This is part of the New Client Paperwork.

HIPPA FORM*

Download this form

Please download this form, fill it out, and bring it with you to our first meeting. This is part of the New Client Paperwork.

CONSENT FOR TREATMENT FORM*

Download this form

Please download this form, fill it out, and bring it with you to our first meeting. This is part of the New Client Paperwork.

 

CONSENT to RELEASE INFORMATION FORM

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This form is optional. If you would like me to speak to your psychiatrist, family member or anyone else about any part of your treatment, please complete this form.

CREDIT CARD AUTHORIZATION FORM

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This form is optional. If you would like participate in Auto-Pay so that you do not have to swipe your credit card after each session, please complete this form.