Client Intake Forms

Required 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.