Helpful Forms

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

• New Client Intake Paperwork
• Provisions For The Treatment of a Minor (This form is completed by both parents if the patient is under 18 years old).
• Collateral Form
• Good Faith Estimate

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

If you are interested in Telepsychology, please download the form below and email it back to Dr. Weissman at [email protected].

• Telepsychology Informed Consent Form

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