If you're a new client, please complete the following forms and bring them to your first therapy session.
OPA Telepsych Consent Form - opa-telepsychology-informed-consent-form.pdf
TLC Consent Packet - tlc-consent-packet.pdf
If you are a Neuropsychology patient, please complete the following questionnaire in addition to the form and packet above.
Neuropsychology Questionnaire - neuropsychology-questionnaire.pdf
If you would like Dr. Shaw to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information.
Authorization for Release of Protected Health Information - authorization-of-release-form.pdf
If you are a provider looking to refer someone for care, please complete this packet.
TLC Referral Packet - tlc-referral-packet.pdf