Please Complete the following forms prior to your appointment

Initial Appointment

(Required) This form will need to be completed prior to your first appointment.  I use a form service that will encrypt your information and send to me.  Please do not fill this out if you've not spoken by phone or e-mail with me prior agreeing to an intake.

Release of information

This is an electronic submission form for a release of information.  If you're a new client, fill out for any emergency contacts listed in your intake, your primary care provider (should you opt-in to coordination of care with your PCP) or others you'd like involved in your care.

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