Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. They will also be available in your online Portal. 

• Consent for treatment and policies
• Privacy
• PCL-5 PTSD Checklist
• DES Dissociation scale
• Client Self-assessment and history

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:

• Authorization to Disclose Information Form

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