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
- General Information
- Credit Card Authorization
- Telemental Health Informed Consent
- Anxiety Self Test
- Patient Health Questionnaire (PHQ-9)
- Symptom List
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:
Note: To download Adobe Acrobat Reader for free, Click here.