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Forms

Click to view/print the Contact Information/Insurance Information form.  This form is necessary in order to start therapy and if you want to use your insurance for services rendered.

Click to view/print the Mandated Disclosure and Consent to Treatment form.  This form is necessary in order to start therapy.

Clink to view/print the Client Intake Form.  This form is necessary in order to start therapy.

Clink to view/print the Notice of Privacy Practices.  This form is necessary in order to start therapy.

Click to view/print the Consent to Release Information form which is not necessary to start treatment but is necessary in order to speak with your other mental health or medical providers.  

Click to view/print the Telemedicine Release Form for telehealth session.

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