|
If you're a new client, please complete the following forms and bring them to your first session.
-
Client Resigistration
-
Statement of Understanding & Informed Consent
-
Payment Contract For Services
-
Consent to Use & Disclose Your Health Information
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:
-
Authorization for Release of Information
Note: To download Adobe Acrobat Reader for free, click here.
|
Client Registration