Documents

(Please Download and Complete Prior to Your First Appointment)

Notice of Privacy Practices

Notice of Privacy Practices - revised 5-25-2021.pdf

Informed Consent

Informed Consent for Individual Therapy-Revised 4-7-2022.pdf

Authorization to Disclose PH-Information (HB300)

hb300-Authorization-Disclose-Health-Info.pdf

Adult Client Information

Adult Client Information Form - revised 07-19.pdf

Child Client Information

Child Client Information Form - revised 07-19.pdf

Adult Couple Information

Adult Client Couple Information Form - revised 12-19.pdf

Adult Couple Client Informed Consent

Informed Consent for Couples Therapy-Revised 4-7-2022.pdf