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

• Client Intake Form
• Notice of Privacy Practices
• Health Insurance Claim Form
• Consent to Treat
• Authorization to Disclose Information Form (optional)

Client Intake Form
Notice of Privacy Practices
Health Insurance Claim Form
Consent to Treat
(optional) Authorization to Disclose Information Form If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

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