Voice Dialogue

Helpful Forms

Helful Forms


If you’re a new client, please complete the following forms and bring them to your first therapy session. These forms will also be available at my office if you are unable to fill them out before your appointment.

icon_pdf – Intake Form

icon_pdf – Disclosure Statement

icon_pdf – Client Record


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

icon_pdf – Authorization to Disclose Information Form

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

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