Client Forms

Please complete the form below so that I have more information about you. There will be additional forms and consents for you to complete and sign once we schedule an appointment.  Please see FAQ for more information on What is the Process for Connecting with Liz?

• Client Intake Form

To further provide you with adequate coordination of care, I encourage you to complete an Authorization for Release of Information Form for your providers such as primary care, medical specialists, and/or psychiatrist. This form will give me permission to share brief summaries of our work together with your providers in an effort to manage your medical/mental health care. The information shared will be minimal and your privacy will be respected and honored. If you would like me to communicate with your providers, please fill out the following form: 

• Authorization for Release of Information