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Blue Mountains
Blue Mountains

Helpful Forms

Please complete the following forms and bring them to your first therapy session.

Please also review the attached HIPAA policy

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:

If you are a parent of a minor, please sign the following form:
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Helpful Forms

Click here to view and print forms for your appointment.

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