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GrowthBRINGS POSITIVE CHANGE

Helpful Forms

You do not need to bring any forms with you to your first appointment. I will go through any paperwork with you.
Please bring any insurance cards with you that you want me to use.

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:

  • Authorization to Disclose Information Form

   
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

Note: To download Adobe Acrobat Reader for free, click here.

Helpful Forms

Click here to view and print forms for your appointment.

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