If you're a new client, please print and complete the following forms and bring them with you to your first session.
- Client 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 |
If you're a new
neurofeedback client
, please print and complete the following forms:
Consent for Neurofeedback
Checklist of Concerns
Note: To download Adobe Acrobat Reader for free,
click here
.