Client Forms

Please complete these intake forms before our first session. If you have any questions, we will discuss them during the first session.

Client Registration

Client Contact Sheet

Notice of Privacy Practices

Limits of Confidentiality

Disclosure, Treatment and Fee Agreement

Missed Appointment and Late Fees

Consent for Treatment of Minor

To collaborate your treatment with another provider, please fill out the following form:

Authorization for Release of Information

42 Henley Road
Wynnewood, PA 19096
(484) 213-3616

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