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"Life is one big transition."
Hands Holding Plant

Forms

If you are a new client, please read and complete the following forms and bring them to your first therapy session. We will discuss these forms, and I will answer any questions you have, during our initial session. Taking time to read them before the session will help facilitiate the best use of our time.

Client Intake

Disclosure and Informed Consent


Use of Technology


Please read the following information prior to our first session. You will be asked to affirm in writing that you received this notice and understand the content. I am happy to answer any questions you may have.
Notice of Privacy -- HIPAA


For those of you interested in Walk & Talk therapy, available upon request and upon mutual agreement after our initial session, please take a moment to read the release form. Again, I am happy to answer any questions or address any concerns you may have.
Walk & Talk Release


If you plan to use your insurance on an out-of-network basis, please read these questions before speaking with your insurance representative.
Out-of-Network Questions


 

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

(These forms have a Copyright, 2017. If you are interested in using them, please contact me.)

 

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Helpful Forms

Click here to view and print forms for your appointment.

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