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Helpful Forms

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

Informed Consent 

Privacy Practices 

Consent to Treat a Minor

Welcome Letter  

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

Authorization to Release to a Primary Care Physician 

If you would like your clinician to release psychotherapy records or other information such as billing information or appointment times to another party (for example, a parent, spouse, lawyer, etc.), complete the form below to authorize release of information: 

Authorization to Release Healthcare Information 

 

The above forms will be sent in your new client email, and are available at the front desk for your convenience. 


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

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Helpful Forms

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