Patient Forms

Parents of child/adolescent patients please complete and submit New Patient Registration and Parent Questionnaire. Adult patients complete and submit New Patient Registration and Adult Questionnaire.

• Parent Questionnaire
  
• New Patient Registration
• Adult Patient Questionnaire
• Feedback Form

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

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