The future depends onwhat you do in the present
Man Standing in a Field

Helpful Forms


HELPFUL FORMS:


Please complete THREE FORMS, the 2 below and one I'll send through email, and bring them with you to your first therapy session.

1)  Client Intake Form  
2)  ASSESSMENT
3)  I will send through email







For Parents of teen clients ONLY:

If you are the parent of a child/teen client, please have the above three forms and following three forms signed by BOTH parents to bring to the first session (Legally, I will not be able to see your child without both signatures/the Authorization to Disclose Information Form is for parents who wish to talk with me about sessions involving their children over 12 years of age, legally children over twelve are protected in confidentiality, therefore the child will have to sign this form that I may speak with you the parent.):

*   Consent for Treatment Of Children or Adolescents

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, parent(s), for child/teen clients, etc.), complete this form (and have your child over 12 sign also) to authorize release of psychotherapy information:

*   Authorization to Disclose Information Form


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