If you're a new client, please complete the following forms and bring them to your first therapy session.
- Consent/Relase Form
- Symptom Checklist
- Notice of Privacy Practices
- Credit Card Authorization Form
- CPA Client Information Form
- Payment Agreement Form
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 .