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If you're a new client, please complete the following forms and bring them to your first therapy session:
Client Information Form
Disclosure Agreement
Notice of Privacy Practices (HIPPA)
Acknowledgement of Receipt of Privacy Practices
For adolescents, please fill out the following form in addition to the above:
Adolescent Information 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:
Authorization for Release of Information
Note: To download Adobe Acrobat Reader for free, click here.
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