If you're a new client for psychotherapy, please print and complete forms 1 and 2 and bring to your first therapy session. If you would like me to coordinate care with your physician, also print and complete form 3.
For recipient parent consultations, surrogate candidate evaluations, oocyte donor candidates, please insure that you complete form 3.
1. New Client Information Form
2. Professional Service Agreement Form
3. Release of Information
Client copies of forms
Client Copy of Professional Service Agreement Form
Client Copy of Notice of Privacy Practices (HIPPA)
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