Forms for New Clients

After you schedule an appointment with me, please print and complete the following items to bring with you to your first session.

• Consent for Therapy
• Client Information Form
• Symptom Report Form

If you would like me to coordinate care with another provider (e.g., your psychiatrist, primary care physician), or if you would like me to be able to communicate with any family members, please complete this form to authorize release of psychotherapy information:

• Release of Information
  (Complete if you allow me to consult with other providers or family members)

• Hippa Notice of Privacy Practices
  (Informational only; nothing to print or complete)

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