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Blue Mountains
Blue Mountains

Helpful Forms

Please Note:  The forms provided on this website are generic, provided with the template from which I built the site. Sometimes they are useful or necessary. If we have time before your first appointment, however, I will mail you a specially designed package of intake materials, including a separate copy of most forms to keep for your records.

Contact me by phone or email before downloading the forms below.  

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.) before we actually meet, complete this form:

  • Consent to Release Information Form

 


Client Intake Form  
Confidentiality and Cancellation Policy  
Consent to Release  

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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