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We create our reality, individually and collectively,by what we think, what we say, and what we do.---Jennifer Judelsohn
Woman Standing on Dock
Woman Standing on Docks

Client Forms

 


If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Intake Form
  • Limits of Confidentiality/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  

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

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Helpful Forms

Click here to view and print forms for your appointment.

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