Please take the time to read and sign these forms prior to your first session. By reviewing and signing the Consent for Psychological Treatment, questionnaire and Privacy and Confidentiality forms, we will make more effective use of your time in the first session. Thank you and I looking forward to meeting with you.
Consent for Psychological Treatment
Privacy and confidentiality (HIPPA)
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, school, etc.), complete this form to authorize release of psychotherapy information:
Release of Information
Consent for Psychological Treatment
Privacy and confidentiality (HIPPA)
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, school, etc.), complete this form to authorize release of psychotherapy information:
Release of Information
