Greetings! Below are the following forms for you which you can review, complete, or sign and return during the first session:
1. Informed Consent – this outlines guidelines and information about my practice, how insurance works, and just requires your initials at two points and signature agreeing to therapy.
2. HIPAA Notice of Privacy Policies – This is a standard document that goes into further detail about how and what information is kept private. You do not need to sign it or bring it in, it just needs to be available to for you to review if you desire.
3. Authorization for Release of Information – This is not a required form, however if there are other providers (such as doctor, psychiatrist, or past therapist), family members, or anyone else you would feel appropriate and beneficial for me to communicate to coordinate treatment, this form allows me to do so.
4. Intake Assessment – This is a comprehensive questionnaire that helps me understand you, your history, and what you want to work on. There may be questions on there which are very sensitive in nature, and which you may not feel comfortable writing about in any detail. If that is the case, feel free to leave them blank and let me know so that we can discuss them in person.