Forms

• Please print and complete Forms A, B, and C in order to bring them to your first appointment.
• Please bring a photo copy of the front of your health insurance card (where applicable) to the initial session.
• Please print and complete a copy of Form D for each person or provider with whom you would like me to collaborate.

Form A: Demographics and Treatment Agreement

Form B: Payment Agreement

Form C: New Client Questionnaire

Form D: Authorization to Obtain/Release Information