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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. If you are more than 15 minutes late for your appointment, we will have to reschedule and there is a charge for the missed appointment. If you no show for the initial scheduled appointment, there will be a missed session fee due at the next appointment or we may not reschedule. If you cannot make your initial session, please give us a call 48 hours before the scheduled date and time. 

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 .

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