Please read these forms.
You do not need to print these forms.

• HIPPA & Disclosure Statement
• Risks to Your Confidentiality with Email and Texting
• Electronic Payment Communications Disclosure

Please PRINT and complete the following forms and mail them to my office or you can EMAIL them to [email protected]
*Note: Email is not encrypted and therefore not confidential. Please read the Electronic Communication Disclosure above.

• Therapist-Client Agreement & Julie's Policies
• Consultation Agreement
• Intake Paperwork 
• Consent for Non-secure Communications and Social Media

If you are a distance client, please sign this form as well as the forms above.

• Online Video Meeting Instructions and Tele-health Consent
• Video Call Quality Troubleshooting Tips
• Trouble Shooting Sound Quality Issues
• Privacy Tips 
   

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

Note: To download Adobe Acrobat Reader for free, click here.