New Client Information | Suzanne Koch Eckenrode
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New Client Information

For New Clients

For your convenience, I have made a number of forms available for you to download.

Filling these out in advance of your first visit will minimize the time you spend in the waiting room filling them out when you get here.

If you have questions about these forms, please call me at 619-405-6180 or email me at ske.mft@cox.net.

Client Psychotherapy Intake Form

Limits of Confidentiality/Therapy Cancellation Policy

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