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"Gaining The Courage To Change"

 

Helpful Forms

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

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

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 to Disclose Information Form


              
             
    Client Psychotherapy Intake Form  
   Informed Consent and Privacy Form
  
 
 

Authorization to Disclose Information Form
 

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


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Helpful Forms

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