Forms

Please print, fill out,  and bring the following forms with you to the first session.

If you are coming in for psychotherapy, you will need the following forms: Therapy Informed Consent (NY or Warwick), HIPAA Notice of Privacy Practices Receipt, and Email Permission.

If you are coming in for coaching, you will need the following forms: Coaching Agreement, HIPAA Notice of Privacy Practices Receipt, and Email Permission.

The Coaching Goals and Coaching Focus forms are optional, and can be used in either psychotherapy or coaching.

Therapy Informed Consent – NY 2018

Therapy Informed Consent – Warwick, 2018

Coaching Agreement 2018

HIPAA Notice of Privacy Policies

HIPAA Notice of Privacy Practices Receipt

Email Permission

Coaching Goals

Coaching Focus Form