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The future depends onwhat you do in the present
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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

HIPAA Notification of Privacy

Questionnaire for Couples

Child Intake








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













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