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Green Hills with Blue Sky

Intake Forms

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I realize that intake forms may seem as dry as mud, but they will help me get to know you quicker. If you're a first-time client, please review and complete the following forms, bring them to your first session.

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

  • Consent to Release Information Form

 

 

Client Intake Form  
Confidentiality and Cancellation Policy  
Consent to Release  

 

Note: To download Adobe Acrobat Reader for free, click here.

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Helpful Forms

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