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Green Hills with Blue Sky

Helpful Forms

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

If you are interested in Couples Counseling, please also include the following form:


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.  Please read the HIPAA information on page two carefully to understand your rights as a mental health patient:


Note: To download Adobe Acrobat Reader for free,
click here.

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Helpful Forms

Click here to view and print forms for your appointment.

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