My Cancellation Policy is as follows (please disregard policy on form attached here in Acrobat Reader, the form will be updated soon.)
1 Week Cancellation Policy: please know that I will charge for missed appointments cancelled less than one week prior to scheduled meeting, unless I can reschedule you within the week or can fill your time. This is necessary because I must still pay all business expenses and childcare costs, etc., even when cancellation is given twenty-four hours in advance. The fee will be charged at my full rate based on location; Insurance will not reimburse for missed appointments.
If you're a new client, please complete the following forms and bring them to your first therapy session.
- 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:
- Authorization to Disclose Information Form
 Client Psychotherapy Intake Form |
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| Limits of Confidentiality/Therapy Cancellation Policy |
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| Authorization to Disclose Information Form |
Note: To download Adobe Acrobat Reader for free, click here.