Forms

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

• Confidentiality Cancellation & Insurance Release - 2017

If you would likeus to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the form below to authorize release of psychotherapy information:

• Authorization to Disclose Information Form

Confidentiality Cancellation & Insurance Release - 2017

Authorization to Disclose Information Form

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