If you're a new client, please complete the following forms and bring them to your first therapy session.
- Adult Screen for Co-Occurring Disorders
- Consent & Notice of Private Practices
- Outpatient Demographics
- Cancellation Policy
- New Fee Schedule
- New Client Enrollment
- New Program Rules
- Patient Health Questionnaire
- Notice of Private Practices
- Rights of Recipients
- Referral Form
- Statement of Confidentiality
- WITS Admission Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, Click here.