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New Patient Forms

All new clients should complete the following three forms and bring them to your first therapy session.  If you would like to coordinate care with another counselor, psychiatrist or primary care physician, you will need to complete the bottom portion of the HIPPA  & Privacy Practices form. 

Patient Information & Medical/Psychiatric HistoryOpens a new window

Informed Consent, Confidentiality & Client Rights Opens a new window

HIPPA, Privacy Practices, & Release of InformationOpens a new window

 

Download Adobe Acrobat Reader for freeOpens a new window

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Helpful Forms

Click here to view and print forms for your appointment.

Helpful Forms