Work with me
For clients and supervisees
Clinical forms
Agreements and consent forms for psychotherapy, clinical supervision, and surgery planning.
Before we begin
Please read the form for the service you're interested in before our first meeting. Each one explains how the service works, what you can expect from me, and the limits of confidentiality. Questions are welcome at any point.
Psychotherapy
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Psychotherapy disclosure and consent form
My qualifications, how psychotherapy with me works, technology in therapy, appointments and virtual sessions, cancellations, between-session communication and emergencies, documentation, confidentiality, and reviewing or ending therapy.
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Release of information
Authorizes me to share information with, or obtain it from, a person or organization you name, such as another provider, for treatment planning and coordination.
Clinical supervision and consultation
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Clinical supervision and consultation agreement
The difference between supervision and consultation, content and focus, qualifications, rights and responsibilities, dual relationships, and regulatory requirements.
Surgery planning and second assessment
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Surgery planning and second assessment agreement
For trans and nonbinary clients in Ontario seeking an additional assessment or letter as part of planning gender-affirming surgery: the pathway, what we will discuss, virtual sessions, confidentiality and release of information, and fees.
Where to go next
Psychotherapy
How I work and how to book an initial consultation.
Clinical supervision
Supervision and consultation for counsellors, social workers, and psychotherapists.
Contact
Questions about any of these forms.