Senior Citizen Couple
Senior Citizen Couple

New Client Forms

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


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

School Counselors, Physicians, Probation Officers:
To refer a client for therapy, please submit this referral form by fax or email
 


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

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Helpful Forms

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