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Bloom Into Your

Best Self. . .

Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session:

Informed Consent

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:

HIPAA Form

Note: To download Adobe Acrobat Reader for free, click here.

Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE