Debra Antari, LPC
(203) 437-2523
12 Woodside Ave
Middlebury / Southbury, CT 06762
debra@antaritherapy.com
HELPFUL FORMS

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

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

 

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

  • Consent to Release Information Form

 


Client Intake Form
Confidentiality and Cancellation Policy
Consent to Release

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