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Green Hills with Blue Sky

Helpful Forms

For New clients:  

Intake Form 

Informed Consent Form (for adults) 
Informed Consent Form (for minors)

No Secrets Policy (for couples and families)

Telemedicine Form (therapy by phone)

Other Forms:

Authorization to Exchange Confidential Information Form. Gives me permission to speak to and coordinate your care with another provider (for example, your psychiatrist, a prior therapist,  etc.)

Authorization to Release Confidential Information.  Gives me permission to speak about your care to someone you designate during a specified period of time

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Helpful Forms

Click here to view and print forms for your appointment.