If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Intake Form
- Financial Policy
- Informed consent For Treatment
- Notice of Privacy Practices
- Notice of Privacy Practices Receipt
- Teletherapy Consent Form
If you would like Glenise to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.