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


Intake form for website.pdf  
Authorization for disclosure.pdf  
Confidentiality Agreement for website.pdf  
Notice of Privacy Practices for website.pdf  

Note: To download Adobe Acrobat Reader for free, click here.

Please be aware that email is not a secure means of communication.  If you contact me via email please do not include any information that you would want to remain confidential.  Please also be aware that contacting me via email does not constitute a patient-doctor relationship.  Such a relationship will only be established on the basis of an in-person consultation by which we may assess if we can work together.

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Helpful Forms

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forms for your appointment