If you're a new client, please complete the following forms and bring them to your first therapy session.
- New Client Intake Form (required)
- Caring Journey Counseling Policies Form (required)
- HIPAA Privacy Practices Notice (please print and keep for your records)
- Receipt and Acknowledgment of HIPAA Privacy Practices Notice (required)
- Credit Card Authorization Form (required)
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.) or a family member, complete this form to authorize release of psychotherapy information:
- Release of Information Form (optional)
Note: To download Adobe Acrobat Reader for free, click here.