FORMS.

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

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• Client Adult Psychotherapy Intake Form

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• Child Psychotherapy Intake Form 

 

• Informed Consent- Spanish

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• Informed Consent/ Limits of Confidentiality- English

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• Demographic Information                                                                                                                                              (Complete this form if you are using Insurance)  

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

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• Authorization to Disclose Information Form

 

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

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