Documents to Review (download below)
- Privacy Practices for Protection of Health Information (HIPAA)
- Limits to Confidentiality
- Rights and Responsibilities
- Electronic Communication Policy
Forms to Complete (download below)
- Personal Information Form
- Practice Information and Consent to Treat
- Financial Responsibility and Signature Form
In-Person Instructions
- Download, print and complete forms
- Bring all completed forms with you to your first session.
- Bring your health insurance card, if you are utilizing insurance.
Telehealth Instructions
- Download, print and complete forms
- Scan or take pictures of completed forms
- Email all completed documents AND a copy of both the front and back of your health insurance card, if you are utilizing insurance. You will email all of this via an encrypted email your therapist will send to you for this purpose.
- Complete a Telehealth Consent Form. This document is completed and submitted online. Please click here -->TELEHEALTH CONSENT FORM
Release of Information (download below)
If you would like us to coordinate care with another provider, for example, your psychiatrist or primary care physician, please complete this form to authorize release of information.
This document is NOT required for your first session.