“Strength does not come from physical capacity. It comes from an indomitable will.”
~ Mahatma Gandhi
Prior to our first appointment (initial assessment), please review the following forms and note any questions or need for clarifications that you may have. We will discuss these forms at length during our first appointment.
Consent to Use or Disclose PHI for Treatment, Payment, and Health Care Operations
Informed Consent for Psychotherapy
Informed Consent for Teletherapy
Informed Consent for Adolescent Psychotherapy
Informed Consent for In-Person Therapy During COVID-19 Public Health Crisis
Protection of Confidentiality Agreement for Child Psychotherapy
“Strength does not come from physical capacity. It comes from an indomitable will.”
~ Mahatma Gandhi
Prior to our first appointment (initial assessment), please review the following forms and note any questions or need for clarifications that you may have. We will discuss these forms at length during our first appointment.
Consent to Use or Disclose PHI for Treatment, Payment, and Health Care Operations
Informed Consent for Psychotherapy
Informed Consent for Teletherapy
Informed Consent for Adolescent Psychotherapy
Informed Consent for In-Person Therapy During COVID-19 Public Health Crisis
Protection of Confidentiality Agreement for Child Psychotherapy