If you're a new client, please complete the following forms and bring them to your first therapy session.
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:
- Life Coaching Services Agreement.pdf
- Functional Nutrition and Lifestyle Coaching Services Agreement.pdf
- Spiritual and Mindfulness Coaching Services Agreement.pdf
CREDIT CARD AUTHORIZATION FORMS
- MBT CC Authorization Form.pdf
- Life Coaching CC Authorization Form.pdf
- Functional Nutrition and Lifestyle CC Authorization Form.pdf
- Spiritual and Mindfulness Coaching CC Authorization Form.pdf
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Mental Health Counseling