Client Forms
For your reference, these are links to the intake disclosure forms for the Center for Mindful Psychotherapy, where I practice. These forms along with contact and client history will be made available to you via our secure document portal to complete electronically.
CMP Informed Consent for In-Person Services - COVID-related
If you feel that you would like to coordinate with another provider, or release information to a third party, simply fill out the following form.
CMP Information Release Authorization Form
The Good Faith Estimate law requires that therapists provide you with an estimate of your mental health costs at the beginning of treatment. An estimate (GFE) like this sample will be provided by your clinician at the start of therapy. (This pdf sample is NOT for filling out, only for your reference prior to your scheduling process.)