Forms

Intake Forms

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

• Informed Consent Notice
• Confirmation of Informed Consent
• Client Intake Form
• Telehealth Consent Form

Client Therapy Portal

If you need to access billing information or obtain a copy of your electronic health record, please click "Client Portal" below

Client Portal

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 Protected Health Information

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