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Blue Mountains
Blue Mountains

Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.  For couples seen together, please fill out TWO COPIES.

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:


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

Theravive Counselor
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Helpful Forms

Click here to view and print forms for your appointment.

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