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client forms and information

Please feel free to make copies of these forms for your own records - or you may return to this site for future reference or clarification at any time.

Intake Form


If you would like for me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please click the Medical Release button below, print a copy of the form and fill it out to authorize release of your protected psychotherapy information.  Share the Release with your other provider.  Then email me a copy to keep in your file.

Medical Release


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