If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Information Form
- Confidentiality and Cancellation Policy
- Parental Consent Form
- Teen's Questionnaire
- Children's Questionnaire
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.
Please call or email me for an individual, couples, or family therapy consultation today.
Call (774) 722-5190
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