Forms

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

• Resiliency Consultant & Therapeutic Services Client Information Form
• Resiliency Consultant & Therapeutic Services Group Information Form
• Resiliency Consultant & Therapeutic Services Authorization and Consent for Release of Information
• Resiliency Consultant & Therapeutic Services Client Receipt

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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