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Helpful Forms





If you're a new client, please complete the following forms and bring them to your first therapy session. If it is not possible to print from home or if you have difficulty filling them out on your own, please arrive 30 minutes early to your initial appointment to allow time for completing the paperwork. I'm happy to help you!

Background Information

Email Authorization

Informed Consent

Ohio Privacy Notice

Service Agreement

Authorization to Disclose

Signature Form



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

Helpful Forms

Click here to view and print forms for your appointment.

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