- Confidential Intake Form
- Services Agreement Form
- Notice of Privacy Practices
- Electronic Messaging Informed Consent
- Cancellation and No-Show Policy
Your care is confidential, but sometimes clients want me to communicate with a physician, previous therapist, or their insurance company. If this is the case, please fill out this Consent to Release Confidential Information Form and return it to me in person, by fax, or via mail. Remember that e-mail may not be secure form of communication. After I receive this release I can coordinate your care with another provider.
If you are receiving cognitive-behavioral therapy for insomnia (CBT-I), this CBT-I Intake Packet contains everything you need for your intake appointment. Please fill out all the forms and bring the entire packet with you to your first appointment.