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

• Client Intake Form
• Limits of Confidentiality/Cancellation Policy Form
• Professional Disclosure Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

• Consent to Release Information Form

Client Intake Form
Confidentiality and Cancellation
Release of Information	Allows sharing of confidential information with other individuals and providers
Professional Disclosure	Background information, client rights, and service agreement.

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