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Helpful Forms

The following documents are used in my sessions for Intake and release of information requests: 

New Client Intake Form

Notice of Disclosure 11-7-2023  

Notice of Disclosure Addendum 11-7-2023

Child Intake Form

Release of Information Form

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


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