Jennifer M. Ray PhD

 

FORMS

 

If you're a new client, please complete the following forms and bring them to your first therapy session.

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• Client Psychotherapy Intake Form

• Limits of Confidentiality/Therapy Cancellation Policy

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If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physicisian, etc.), complete this form to authorize release of psychotherapy information:

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• Authorization to Disclose Information Form

 

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

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