• 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 during a session 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).