Forms for Intake
Privacy Practices
Your privacy matters. This Notice of Privacy Practices explains how your personal health information may be used and shared, and the steps taken to protect it. It outlines when information may be used for your care, payment, or legal requirements, and when your written permission is needed. You’ll also learn about your rights, including how to access your records, request changes, or limit certain disclosures. This notice has been in effect since August 1, 2023.
Practice Policies
This form explains important details about scheduling and canceling appointments, fees, and how to get in touch between sessions. It also outlines expectations around electronic communication, social media boundaries, and the use of telehealth services, including your rights and privacy protections when therapy is provided remotely. You’ll find information about policies for minors, how therapy may be ended when appropriate, and what to expect if services are paused or discontinued. These guidelines are designed to support a respectful, clear, and consistent therapeutic relationship.
Consent for Psychotherapy
This form explains what therapy involves and what you can expect from the therapeutic relationship. It outlines the nature of the therapy process, including potential benefits and challenges, and emphasizes the importance of your active participation. You’ll also find information about confidentiality, its legal limits, and how your privacy is protected both inside and outside the therapy office. This consent is intended to promote clarity, trust, and open communication as we begin working together.