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Helpful Forms

 

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:

  • Authorization to Disclose Information Form

 

Client Psychotherapy Intake Form  

 
Authorization to Disclose Information Form  

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

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Helpful Forms

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