If you are a new client, please complete the Client Intake Form and bring it to your first therapy sesssion.
If you would like me to coordinate care with another provider (for example your psychiatrist, family therapist, primary care physician etc.), complete the Authorization to Disclose form to authorize release of psychotherapy information.
If you will be submitting a receipt to your insurance for out-of-network provider reimbursement, please use the Billing invoice form.
Authorization to Disclose
Billing Invoice Form
Client Intake Form
Credit Card Authorization
Disclosure Statement & Office Policy
If you have any questions about completing the forms, please contact me at 206.450.9027. Thank you.