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Blue Mountains
Blue Mountains

Helpful Forms



If you are a new adult client, please complete the following forms and bring them to your first therapy session.

If your child will be the primary client, please complete and bring:

For children and teens ages 10 and above, please also read and bring to the first session:

This form explains how I manage confidentiality for older children and teens. Please feel free to bring any questions you or your child may have as well!

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.

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Helpful Forms

Click here to view and print forms for your appointment.

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