If you're a new client, please complete the following forms and bring them to your first session.

• Biographical Intake Form
• Signature Page 

• HIPAA Notice
• Office Policies Form
• TPO Form (Medicare clients only)

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

• Authorization to Release Information Form
   

Biographical Intake Form	All clients, please fill this out prior to our first meeting.
HIPAA Notice	Privacy Statement
Office Policies Form	Procedures, confidentiality, and cancellation policy
TPO form	Authorization to charge Medicare for treatment
Signature Page	All clients sign parts 1 & 2; Medicare clients also sign part 3
Authorization to Release Information	Allows coordination of care with another provider

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