If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
- Limits of Confidentiality/Therapy Cancellation Policy
- Vanderbilt Rating Scales: Parent Assessment
- Vanderbilt Rating Scales: Teacher Assessment
- Vanderbilt Rating Scales: Parent Follow up
- Vanderbilt Rating Scale: Teacher Follow up
- General Office Procedures
- New Patient Information Adult
- New Patient Information Child
- Record Release
- Insurance Responsibilities
- Other Care/Provider Information
- Patient Credit Card on File Agreement
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:
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