Client Forms

***Please click here for an important note about the forms on this site***

Prior to your first session

If you’re a new client, please complete the following form. You may either print it out and  bring it with you or save it and forward it to me before your first session.

Intake Packet For First Session

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Prior to your second session

Please complete the following form. You may either print it out and  bring it with you or save it and forward it to me before your second session.

Comprehensive Questionnaire

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Additional Forms

The following forms may be used as necessary to help you get the most out of your sessions. You may either print it out and  bring it with you or save it and forward it to me before your next session.

What are your Goals

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Internal Conflict Resolution Guidebook

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Limits of Confidentiality/Therapy Cancellation Policy

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If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the following  form to authorize release of psychotherapy information. You may either print it out and  bring it with you or save it and forward it to me before your next session.

Authorization to Disclose Information Form

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Note: You will need Adobe Acrobat Reader to view these forms. To download this free program, click here.