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Blue Mountains
Blue Mountains

Forms & Documents

If you're a new client, you may complete the following forms in advance and bring them to your first session.

  • Client Data Form
  • Intake Form (can be e-mailed)
  • Office Policies and Informed Consent Form


If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Disclosure Authorization - Consent to Release Information Form

Bellow you will also find additional information regarding psychological treatment as well as potentially helpful information on specific presenting problems.



Disclosure Authorization  
Intake Form (can be emailed)  
Client Data Form  
Office Policies and Informed Consent Form  
Finding Help APA Publication
Depression How Psychotherapy Helps People Recover From Depression
Anxiety Disorders The Role of Psychotherapy in Effective Treatment
Eating Disorders  
Warning Signs of Youth Violence Includes information on violent behavior, including suicidality
Brochure on Resilience by the American Psychological Association Resilience is the process of adapting well in the face of adversity, trauma, tragedy, threats, or significant forms of stress


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


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Helpful Forms

Click here to view and print forms for your appointment.