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Therapy for Individuals,Families & Groups
Couple Therapy Session

 

Forms and Agreements

African American family of four smiling

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

Client Information Form

Client Consent Form

Client Intake Form

HIPAA Form

Permission To Treat A Minor Form

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:

Authorization to Release Information Form

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