Forms marked with an asterisk (*) are required for all NEW CLIENTS. If you are participating in couple’s 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*

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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.

CONFIDENTIALITY AND FEES*

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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.

 

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