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

• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy
• General Payment Policy/Credit Card Authorization

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

FOR MEDICARE PATIENTS ONLY Please download and sign the medicare private contract below and bring it with you to your first session. For an explanation of this document, please refer to the Fees & Insurance page on this site.

• Medicare Private Contract