If you're a new client, please complete the following forms and bring them to the initial consultation:
- Consent to Psychotherapy
- Client Psychotherapy Intake
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete one of these forms to authorize release of psychotherapy information:
- Release of Information
- Release of Information for a Minor
If the client is less than 18 years old, please bring the following forms completed and signed to the initial consultation:
- Permission to Treat a Minor
- Adolescent Concerns Inventory
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client understanding and agreement to terms and policies |
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only necessary to consult with other professionals regarding treatment and disgnosis |
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signed by the parent or legal guardian when the client is less than 18 years old |
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filled out by the adolescent |
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only necessary to consult with other professionals regarding treatment and disgnosis for a minor |
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one filled out by each client participating |
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