If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Information Form
- Professional Disclosure and Confidentiality Statement
- HIPAA Notice of Privacy Practices
- Consent for Treatment and HIPAA Compliance Acknowledgment
- EMDR Informed Consent
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.