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Forms

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If you're a new client, please complete the primary forms (marked with numbers 1-4 ) and bring them to your first therapy session.

1.  Client Registration Information
2.  Notice of Privacy Policy and Fee Schedule Agreement
3.  Consent to Disclose Information Form
If you would like me to coordinate care with another provider (for example, your psychiatrist,
primary care physician, pastor, etc.), complete this form to authorize release of psychotherapy information .
4.  Client Rights and Consent to Service
5.  Roles in Therapy: Ours and Yours

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

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Helpful Forms

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