Forms
This page contains forms in both Microsoft Word and Adobe PDF formats. You can download the free Adobe Acrobat Reader [here].
Please download and print these forms, and bring them with you to our first meeting. We can discuss them at that time.
- [privacy.doc] [privacy.pdf]
- This form contains information about your right to privacy under the law, and the conditions under which I can use or disclose health information about you.
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- [disclosure.doc] [disclosure.pdf]
- This form contains information about me and my mode of therapy, as well as other information about appointments, fees and payments.
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- [clientinfo.doc] [clientinfo.pdf]
- This form contains information I need to know about you in order to provide understanding and compassionate therapy. It includes information about your personal history, emergency contacts and issues you may wish to work on in therapy with me.
