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

• Child Intake Form
• Child Therapy Contract
• HIPPA POSTING
• Client Information Form
• Statement of Limits Confidentiality
• Client Policies
• Agreement to Pay for Professional Services

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

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

Supervisees Forms

• RPT Supervision Contract for Supervisees Form
• Consent to Video Recorded Therapy Session(s) Form