Client Intake Forms
If you’re a first-time client, please review and complete the following forms, bring them to your first session.
- Client Intake Form
- Confidentiality Limits Form
- Cancellation Policy Form
- Credit Card Authorization Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
HIPAA Consent Release Form
If you have any questions or concerns, please contact us for assistance.