If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
- Limits of Confidentiality/Therapy Cancellation Policy
Complete this third form only if you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), to authorize release of psychotherapy information:
- Authorization to Disclose Information Form
![]() |
![]() |
![]() |
Note: To download Adobe Acrobat Reader for free, click here .