To save time at your first session, please complete these forms prior to your appointment.
If you have a couples therapy appointment, please fill in two sets of forms.
Instructions:
Download each form, fill them in, then scan and email to me at deborah@deborahweisberg.com. You can use a smart phone app, such as CamScanner, to scan your completed forms and save them as PDFs.
Patient Information Form
Required
Consent for Release of Information
Informed Consent Form
Required
Credit Card Authorization Form