If you're a new client, please complete the following forms and bring them to your first therapy session.
Treatment Consent Form
- Client Psychotherapy Intake Form
- Limits of Confidentiality/Therapy Cancellation Policy
Credit Card Authorization Agreement
- Marital Counseling Initial Intake Form
- Guidelines and Agreements for Couples Counseling
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:
- Authorization to Disclose Information Form
- Informed Consent Telehealth for Skype-Phone-Email Sessions Insightforwellness.com
Note: To download Adobe Acrobat Reader for free, click here.