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:
If you're a new client, please complete the following forms and bring them to your first therapy session.
|Client Psychotherapy Intake Form|
|Limits of Confidentiality/Therapy Cancellation Policy|
|Authorization to Disclose Information Form|
|Maryland Child Abuse Reporting Information|
|Insurance Information Form|
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