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Helpful Forms

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


Chaim Drizin
Client Psychotherapy Intake Form

Chaim Drizin
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:


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