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Helpful Forms

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

  • TraumaResource Background Intake Form
  • TraumaResource Outpatient Agreement and Confidentiality Information Form
  • TraumaResource HIPAA Notice of Privacy Practices

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:

  • Authorization to Disclose Information Form

 

Authorization to Disclose Information Form  
TraumaResource Background Intake Form  
TraumaResource Outpatient Agreement and Confidentiality Information Form  
TraumaResource HIPAA Notice of Privacy Practices  

 

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Helpful Forms

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