If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Consent Form and Payment-2020.pdf
- HIPPA-Notice-of-Privacy-Practices-2020.pdf
- client-demographic-form-2020.pdf
- Personal-experience-fact-sheet-2020.pdf
Si es un cliente nuevo, complete los siguientes formularios y tráigalos a su primera sesión de terapia.
- Formulario de consentimiento del cliente y acuerdo de pago.pdf
- Aviso-de-practicas-de-privacidad-de-HIPPA-2020.pdf
- Formulario-de-informacion-demografica-del-cliente-2020-converted.pdf
- Experiencia-personal-hoja-informativa-2020.pdf
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete these form to authorize release of psychotherapy information:
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