If you're a new client, please complete the following forms and bring them to your first therapy session.
- Patient In take Form - English
- Informed Consent - Adult - English
- Informed Consent - Minor - English
- Informed Consent - Mi nor - Spanish
- Informed Consent - Adult - Spanish
- HIPPA Guidelines - Spanish
- Acknowledgment of Receipt of HIPPA Guidelines - Spanish
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:
Note: To download Adobe Acrobat Reader for free, click here .