- Client Demographics Intake Form and Financial Policy
- Limits of Confidentiality/Informed Consent
- Notice of Privacy Practices (HIPAA) Form (for you to keep)
- Confirmation of Receipt of Privacy Practice
- Telemental-Health Informed Consent
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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