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during the coronavirus crisis, please print out the intake forms, complete and sign, and then fax them to me. Thank you!

Intake Forms

Thanks for taking the time to do this ahead of your first session. 

The Release of Information is not always needed. If you think I should talk to a past therapist, your Doctor, or someone outside of therapy, you'll need this form to give me permission.

Patient Information Forms

Arbitration Agreement

Informed Consent

Credit Card Information
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Optional:
Release Form