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HELPFUL FORMS

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

  • Intake Form
  • Policies, Consent & Fees Form
  • Therapy Partners Electronic Authorization Form  

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

  • Consent to Release Information Form

 


Consent to Release
Intake Form (2009)
Policies, Consent & Fees Form (2009)
Therapy Partners Electronic Authorization Form (2009)

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