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Green Hills with Blue Sky

Helpful Forms

If you are a new client, please bring identification and insurance card, authorization number, if required, if using insurance, to the first therapy session.

If you're a new adult client, please complete both of the following forms and bring them to your first therapy session.

If you're a new child client, please have a parent complete both of the following forms and bring them to your first therapy session.
If you're a online therapy client, please complete all of the following forms.

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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Helpful Forms

Click here to view and print forms for your appointment.

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