Momentum Counseling & Play Therapy Center

Helpful Forms

   

Helpful Forms


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

Client Psychotherapy Intake Form
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

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