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The future depends onwhat you do in the present
Man Standing in a Field

Forms

Please complete the Client Information form, the Informed Consent and the appropriate Initial Client Assessment (adult or child) as well as any Release of Information Authorization forms that you may require,

If you would like me to coordinate care with another provider (primary care physician, psychiatrist etc.) or any other third party, complete this form to authorize release of psychotherapy information.  A separate form is required for each person:


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