baby's hand being held by adult hand

Forms

If you're a new client, please complete the following forms on your child's behalf and bring them to your child's initial intake appointment.  NOTE: Your child does not accompany the parent to the intake appointment!



If you would like me to coordinate care with another provider (for example, your child's psychiatrist, primary care physician, school counselor, etc.), complete this form to authorize release of therapy information:


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