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GrowthBRINGS POSITIVE CHANGE

Policies and Forms

I will provide forms at time of first meeting. 

My Cancellation Policy is as follows:

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 often have a waiting list for open times, it is not always possilbe to reach someone who might want to fill the time with short notice, and I must still pay all business expenses 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 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


 

   
   
Authorization to Disclose Information Form  

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

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Helpful Forms

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