If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client History and Information
- AmenBrain System Checklist
- Client Consent for Treatment
- Acknowledgement of Receipt of Notice of Privacy Practices
- HIPAA Form
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:
Note: To download Adobe Acrobat Reader for free, click here.
