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

Client Psychotherapy Intake Form
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: Authorization to Disclose Information Form

Client Psychotherapy Intake Form
Limits of Confidentiality/Therapy Cancellation Policy
Authorization to Disclose Information Form

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

Mary Strueber, LCPC

Counseling Therapy for Adults & Adolescents | Anxiety & Depression Loss & Grief Annapolis, Arnold, Severna Park