African American Mother with Daughter
Family Having Fun

Client Paperwork

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

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

If the client is a minor, I will request that you complete a Release of Information for your child's primary care physican or psychiatrist.  If you would prefer to waive consultation with your child's doctor, please complete the following waiver:

 

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

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Helpful Forms

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