Forms

Once you are established as a new client, I can send you the Intake forms via our confidential video-counseling portal. Or, if preferred, you can print out and complete the following forms and scan and email back to me.

• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy

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:

• Authorization to Disclose Information Form

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