ADDITIONAL FORMS IF APPLIES
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:
authorization_to_release.pdf | |
File Size: | 777 kb |
File Type: |
child_intake_form.pdf | |
File Size: | 309 kb |
File Type: |
superbill.doc | |
File Size: | 41 kb |
File Type: | doc |