NEW CLIENT PAPERWORK

Please fill out the following paperwork before your first appointment:

TELL ME A LITTLE BIT ABOUT YOURSELF

Client Information

CONSENT TO MOBILE AND VIRTUAL THERAPY

Telehealth Consent

Consent and Confidentiality

THE FINANCES

Financial Agreement

RELEASE OF INFORMATION

Please fill out a release of information for each person you want me to speak to and specify what is to be released and for what purpose. If you have a psychiatrist or therapist, I would appreciate a release for them to coordinate care.

Release of Information