• Authorization to release information: There may be times when you and I agree it would be helpful for me to speak with another person to coordinate your care. I must have your written consent in order to do this (with the exception of the situations outlined in the Notice of Privacy Practices form). Usually, we’ll talk about this in my office prior to your filling out this Release of Information Authorization form, but I have included it here so you can at least see what it looks like.
  • Borrowed Items Agreement: After you and I have begun a therapy relationship, I am happy to loan books and other material from my personal collection if we decide that there are some items that would benefit you; I’ll just ask that you fill out and sign this short form so I can keep track of what you’ve borrowed, and when you’re planning to return the item(s).