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Intake Documentation

Intake Information (pdf)Download
Consent for Evaluation (pdf)Download
Privacy Practices 2019 (pdf)Download
Notice of Client Rights 2019 (pdf)Download
Release of Information (pdf)Download

Intake Documentation

Please bring the following items to your first session:

Intake Information

Consent for Evaluation

Privacy Practices

Notice of Client Rights

Photo ID

Insurance Card


The Release of Information form is only necessary in the event you want to allow me to speak with another provider and can be completed at any time

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