Forms For Treatment

If you’re a new client, please complete the following forms and email them to patriciarowelcsw@gmail.com before the first session.

Telehealth Informed Consent

Client Psychotherapy Intake Form

Limits of Confidentiality/Therapy Cancellation Policy

HIPAA Information Disclosure Notice

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:
Authorization to Disclose Information Form

Video Consent Form