Forms, policies & fees
Our policies, in full
These are the practice policies you agree to as a patient — fees and billing, insurance, scheduling, urgent care between sessions, your rights, and how your confidentiality is protected and when the law requires exceptions. Nothing here has been shortened; it is organized so you can find what you need.
Downloadable forms
- New Patient Form (PDF)Complete before your first appointment and bring it with you.
- Authorization to Release Information from Psychotherapy Associates (PDF)Written authorization for release of confidential information.
- Dialectical Behavior Therapy Group Brochure (PDF)Details of the weekly DBT skills group.
- HIPAA Provisions (PDF)Notice of privacy practices for protected health information.
- Welcome Handout (PDF)New patient welcome information.
Note for the practiceSpelling corrected throughout: the previous site read "HIPPA" in several places; the correct acronym is HIPAA (Health Insurance Portability and Accountability Act). Please confirm the PDF documents use the corrected spelling as well.