Forms

If you are new Individual client to our practice or you if you are returning after one year, please complete the following form and bring it to your first therapy session.

  • Adult Psychotherapy Intake Form
If you are a new Couple to our practice, please (each) complete the following form and bring with you to your first therapy session.
  • Couples Psychotherapy Intake Form 

If you would like us 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

 Adult Psychotherapy Intake Form  
 Couples Psychotherapy Intake Form  
 Authorization to Release Information Form  

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