Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

• Assessment Form
• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy
• The Mind Heart & Soul Sentence Completion Form
• Patient Health Questionnaire (PHQ-9)
• DSM (children) Assessment Form
• Columbia-Suicide Severity Rating Scale (C-SSRS)
• DSM (adult) Questions

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:

• Release of Information

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