Forms

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

•  FPC PATIENT CONSENT FORM
•  FPC Professional Fees
•  FPC Psychiatrist Patient Services Agreement
•  Notice of Privacy Practices and Patient Acknowledgement 

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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