If you are a new client, please complete the following two forms and bring them to your first session.

• General Information Form
• Information and Consent Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please complete this form:

• Bilateral Authorization to Exchange Professional Information Form

 Copyright © 2008-2012 by Adam D. Coffey, Ph.D.

General Information	Intake form
Information and Consent	Intake form
Bilateral Authorization Form
Spirituality and Couples Therapy	My doctoral dissertation
userfiles/200465/file/resume0911(1).doc	My curriculum vitae

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