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Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.  Additional forms may be required for your specific employee assistance program or insurance.

If you would like me to coordinate care with another provider, psychiatrist or medical doctor please complete the following form userfiles/2079575/file/HIPPA Authorization Form.pdf

If you would like to preview a copy of our Privacy Practices, please view it here: userfiles/2079575/file/privacypractices.pdf 

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Helpful Forms

Click here to view and print forms for your appointment.

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