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If you’re a new client, please print/complete the intake forms and bring them, along with your insurance card(s), to your first therapy session. It is your responsibility to know your insurance copay and/or deductible. Check with your insurance company if necessary. Those amounts are due at the time of service. Cash, check, debit, credit and flex savings cards accepted for payment.

Confidentiality & Privacy Policy

The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission. Exceptions include:

  • Suspected child abuse or dependent adult or elder abuse. I am a mandated reporter and am required by law to report abuse to the appropriate authorities immediately.

  • If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.

  • If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.


Please open the link below to access my full HIPAA policy:

Intake Form

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