If you're a new client, please complete the following forms and bring them to your first therapy session
- authorization-to-release-information-all-clients
- authorization-to-release-information-virtual-individual-and-group-sessions
- Clients-rights
- clients-rights-signature-form
- consumer-affairs-complaints-and-grievances-signature-form
- DAST
- MAST
- notice-of-privacy-practices-record-of-receipt-sign-form
- required-acknowledgement-of-the-confidentiality-policy-signature-form
- service-and-fee-agreement-and-signature-form
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:
Note: To download Adobe Acrobat Reader for free, Click here.