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Helpful Forms

If you're a first-time client, please review and complete the following forms, bring them to your first session.

Client Intake Form  
Permission to Treat Minor  
HIPPA Policy Concerning Text and Email Messages  
HIPPA General Policy  
Acknowledgement of HIPPA Policy  

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

 

Authorization for the Release of Healthcare Records  

 

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

Schedule Appointment

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