If you are a new client, please complete the following forms, and bring them to your first appointment.

Don’t worry about completing everything correctly – this is just to get us started.

• Client Information Form
• Intake History Form (minor)
• Intake History Form (adult)

Please review this document, and be prepared to sign a copy at our first meeting.

• Information, Authorization, and Consent to Treatment

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:

• Consent to Exchange Confidential Information

For your information, this document summarizes your privacy rights.

• Notice of Privacy Practices

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