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

• Client Intake form
• Consent for Clinical Treatment
• HIPPA

If you would like to use your credit card or debit card, please fill out the following form:

• Credit Card Authorization  (We will discuss which payment option at the bottom of the form best applies during the first session)
  

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, school counselor, etc.), complete this form to authorize release of information:

• Consent for Release of Information
  

Consent for Clinical Treatment Form 2010	Intake Form - Minor 2010
Consent for Release of Information 2010	HIPPA 2010
Intake Form - Adult 2010	Credit Card Authorization Form 2010

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