I begin with a free and confidential 15 minute consultation to learn about your personal situation and develop a plan of action.
Once we have made your first teletherapy appointment, you will be invited to register in my HIPAA compliant portal and asked to complete several online forms. This portal can also manage appointments and payments.
You can also print and complete the forms below.
- Patient Information Sheet
- Letter of Agreement
- Signature Page for HIPAA
- Notice of Privacy Practices (HIPAA)
- Right to Receive a Good Faith Estimate of Expected Charges
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.
