If you're a new client, please print the read the DISCLOSURE STATEMENT, then print a complete the COUNSELING INTAKE FORM.  Please bring the Intake Form to your initial session.

• DISCLOSURE STATEMENT
  

• COUNSELING INTAKE FORM

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

• AUTHORIZATION TO RELEASE INFORMATION FORM

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