If you're a new client, please complete the following forms and bring them to your first therapy session. Adults need to complete Adult New Patient Form, Healthcare Consent Form In-Person Appointment, and Release Of Information form. Children need to complete Child/Adolescent New Patient Form, Healthcare Consent Form In-Person Appointment, and The SNAP-IV Teacher and Parent Rating Scale forms before your first appointment.
Release Of Information
- Adult New Patient Form
- Child/Adolescent New Patient Form
- Healthcare Consent Form In-Person Appointment
- The SNAP-IV Teacher and Parent Rating Scale
- Release Of Information
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:
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