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Client Forms

The State of Washington requires each psychotherapist practicing here to provide a Therapist's Disclosure Statement, which outlines the education, clinical training, responsibilities, nature of the practice, and other guidelines, including confidentiality. Please go to the page entitled Secure Client Log In. You will be asked to create a username and a password. Then you will be able to read and electronically sign the disclosure statement.
 
You will also find the New Client Information Form there. Please complete this to the best of your ability. There is no need to print this form. You can complete it online where it is stored in complete confidence in the HIPAA-compliant encrypted section of this website.

If you would like me to coordinate care with another provider (for example, your psychiatrist, your previous psychotherapist, or your primary care physician), please complete this form to authorize release of your confidential information to me, exclusively for use in our work together:


Authorization to Disclose Information




 

 

Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE