Forms

Forms - Amira For Her

Welcome to the Forms page! If you're a new client, please take the time to review and complete the following forms before your first session. Your therapist will also go over these with you and explain our confidentiality policy during your session.

Required Forms:

1. Client Psychotherapy Intake Form Please complete this form to provide us with essential information to better understand your mental health and treatment goals.
2. Limits of Confidentiality/Therapy Cancellation Policy This form outlines our confidentiality policy and the cancellation policy for therapy sessions. Please review it carefully.
3. Authorization to Disclose Information Form If you would like us to coordinate care with another provider (e.g., your psychiatrist, primary care physician, etc.), please complete this form to authorize the release of psychotherapy information.

Note: To download Adobe Acrobat Reader for free, click here.