Before Our First Appointment
So as to minimize the time we must spend addressing administrative matters, please download the federally mandated forms listed below, review them, and bring in the relevant pages to our first session.
1. Client Info Form: Please complete this form and bring it with you to the appointment. With the version on the left you may type directly into the form before printing. If you are unable to open a docx file, please print out the pdf version on the right.
2. HIPAA Notice (Health Insurance Portability and Accountability Act), which all health providers must give to their patients. If you are unfamiliar with the HIPAA Notice, please read it. Please sign the last page and bring that page with you to the appointment.
3. Psychotherapy Agreement, which explains my office policies and relevant laws about confidentiality in more detail. Please read this agreement, sign the last page and bring that page with your to the appointment.
- Mission/Noe Valley, San Francisco
- Menlo Park, California