New Client Forms

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

• Client Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy
• Adolescent Informed Consent Form (if under 18 years of age) 
• HIPAA Authorization
• Informed Consent and Payment Information

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

• Authorization for Discloseure of PHI

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