If you're a new client, please complete the following forms and bring them to your first therapy session.
Susie Gonsalves
- Welcome Letter
- Client Information Form
- Limits of Confidentiality/Therapy Cancellation Policy
- Electronic Billing Authorization Form
- Disclosure Statement
Liliana Vargas
- Welcome Letter
- Client Information Form
- Limits of Confidentiality/Therapy Cancellation Policy
- Electronic Billing Authorization Form
- Disclosure Statement
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:
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