If you are a new patient, please complete the following forms and bring them in by your third session. If we are meeting virtually, scanning them in and sending them back to me via email is sufficient.
If you would like me to coordinate care with another provider or third party (for example, your psychiatrist, primary care physician, etc.), please complete this form to authorize release of psychotherapy information:
- Intake Demographics and Insurance
- Policies and Consent for Treatment
- Informed Consent for Telemental Health Treatment
- Electronic Communications Policy
- Emergency Contact Form
If you would like me to coordinate care with another provider or third party (for example, your psychiatrist, primary care physician, etc.), please complete this form to authorize release of psychotherapy information: