Forms & Policies


On this page you will find important documents to review and complete before our first session.  If you have any questions or concerns upon reading or completing these forms, please bring them to my attention.

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1. Confidential Client Information
CCI Form.pdf
Adobe Acrobat Document 95.3 KB
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2. Office Policy & Informed Consent
OPC Form.pdf
Adobe Acrobat Document 132.7 KB
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3. Consent for Treatment of Minor(s)/Dependent Adult(s)
CTM Form.pdf
Adobe Acrobat Document 108.2 KB
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4. Minors in Therapy (Ages 12-17)
MIT Form.pdf
Adobe Acrobat Document 108.3 KB
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5. Authorization to Release Information
ARI Form.pdf
Adobe Acrobat Document 101.6 KB
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6. Credit Card Authorization
CCA Form.pdf
Adobe Acrobat Document 106.8 KB
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7. Private Pay Election
PPE Form.pdf
Adobe Acrobat Document 98.5 KB