If you are a new client, please complete one of the following intake forms along with the  Limits of Confidentiality/Therapy Cancellation Policy and bring them to your first therapy session.

• Adult Therapy Intake Form
• Couples Therapy Intake Form
• Child Therapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy
  

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

• Authorization to Disclose Information Form

Adult Intake Form	Adult Intake Information (Age 18 and over)
Couples Intake Form	Couples Intake Information for joint therapy (Age 18 and over).
Child Intake Form	Child Intake Information (Ages 2 to 17).
Limits of Confidentiality-Cancellation Policy
Authorization to Disclose Information Form	Release of Information Consent Form and Patient Rights & HIPAA Authorization

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