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Helpful Forms

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

  • Client Demographic Form
  • Disclosure Statement

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information Form

 



 
 
Disclosure Statement
 
                                                                                                                                                                                                                                                                                                                  
                                                                                                                                                
 
Release of Information  

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Helpful Forms

Click here to view and print forms for your appointment.

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