If you're a first-time client, I will recommend specific forms that you fill out and and then you bring them to your first session.
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
- Consent to Release Information Form
 Client Intake Form |
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| Confidentiality and Cancellation Policy |
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 HIPPA |
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| Financial policies |
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| Eating Disorders |
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| Parents Form |
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| Consent to Release Information |
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| Insurance Reimbursement Request |
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| Professional Disclosure Statement |
LABSWE required professional disclosure statement for all LCSWs |
| Personal History |
Note: To download Adobe Acrobat Reader for free, click here.