Forms

Due to the COVID-19 pandemic, I am sending all intake forms electronically through a platform named Simple Practice to your email.
Found here are copies of the PDF files that I send to you electronically.

1.

Intake Forms

Includes: Treatment Consent, HIPAA Compliance Notice, Client Information Form

2.

Release of Information

Optional: To be used as needed to provide treatment planning and continuity of care with other providers and team members

Teletherapy

Informed Consent

Includes: Information on the benefits and risks of telehealth as well as measures to keep you safe while using this medium for therapy

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