Helpful Forms

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

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

  • Consent to Release Information Form

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Client Intake Form


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Confidentiality and Cancellation Policy


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Consent to Release


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

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Helpful Forms

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