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My Helpful Forms

If you're a new or current patient and you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please complete this form:

Please read the following notices prior to your first appointment. Per federal HIPAA and HITECH regulations, you will also be provided a copy in your welcome packet at your first appoointemnt.

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.