Welcome! New clients please click on the forms that apply to you and your family. Please note some are in "read only" format. Others need to be completed online and submitted.
For all clients please read, print and sign the following forms:
♦ Informed Consent Form- Estee Diamond
♦ Pre-Licensed Therapist Informed Consent Form- Allison Rosenberg
♦ HIPPA Privacy Notice - All
♦ Adult Intake Form - Couples and Individuals
♦ Family Intake Form - Families
♦ Child Intake Form - Children
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
♦ Aurthorization to Release Information - Minor
♦ Aurthorization to Release Information - Adult
Note: To download Adobe Acrobat Reader for free, click here.