If you're a new client, please complete the following forms and bring them to your first therapy session. Also, please bring a photocopy of both your insurance card and license. I cannot bill your insurance company without these forms on file.

• 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

Client Psychotherapy Intake Form
Limits of Confidentiality/Therapy Cancellation Policy
Authorization to Disclose Information Form

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