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Intake/other forms

Paperwork/Registration

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


Client Intake Form

Confidentiality and Cancellation Policy

Private Practice HIPAA Notice

Insurance Signature

Telemedicine Consent Form

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

Consent to Release

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

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Helpful Forms

Click here to view and print forms for your appointment.

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