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Therapy for IndividualsCouples, & Families
Family Therapy Session

Helpful Forms

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

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

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:

  • Authorization to Disclose Information Form


Patient’s/Client’s Informed Consent for Psychological, Evaluation, Consultation, Treatment and/or Biofeedback Training  
Adult Intake Form  
Child Intake Form  


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