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If you're a new client, please complete the following forms and bring them to your first therapy session.
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Client Psychotherapy Intake Form
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Limits of Confidentiality/Therapy Cancellation Policy
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:
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Authorization to Disclose Information Form
Note: To download Adobe Acrobat Reader for free, click here.
I have offices for therapy and counseling Fond du Lac, WI conveneint to Oshkosh, or Appleton.
Contact me about therapy or counseling for more information or set up a therapy appointment!
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