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Mountains
PeaceCOMES FROM WITHIN

Helpful Forms

First-time clients, please print out,
review, and complete the following forms.
You may bring them to your first session. 

Even better, we prefer that you mail or fax the
completed forms prior to the appointment
so we can be better prepared for your first session.  

Client Intake Form

Limits of Confidentiality/Cancellation Policy Form

If you would like me to coordinate care with another provider
(for example, your psychiatrist, primary care provider, etc.),
please complete and send this form:

Consent to Release Information Form
____________________________________________________
 

Click on the PDF links below to print out the forms

 


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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