Forms

If you're a new mindfulness meditation student, please complete the following forms and return them to me by email before your first class:

Meditation Student Questionnaire

Waiver of Liability and Appearance Release

If you're a new embodied psychotherapy client, please complete the following forms and return them to me by email before your first session.

• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy

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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