Client Forms

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The Client Intake Form can be sent securely through hushmail on this site.  The other forms need signatures and cannot be completed here.  I will send them to you through encrypted Hushmail after I receive your request for an appointment.

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:

If you are interested in phone, e-mail, or video counseling: