If you're a new client, please complete the following form and bring it to your first therapy session.
The following notice describes how medical/mental health information about you may be used and disclosed and how you can get access to this information. Please review it carefully. This is for information purposes only; you do not need to bring a copy of this to your therapy session.
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.