Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. If you are interested in telepsychology, please email [email protected] (HIPAA compliant email) with your insurance card, date of birth, new patient intake forms as well as informed consent for telepsychology. Dr. Soliman will determine if the referral is an appropriate fit for telepsychology via email.


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:

Adult Intake Packet 

Adult Intake Packet- Spanish 

Adult Intake Packet- Punjabi

Adult Intake Packet- Hmong

Child Intake Packet  

Permission to Exchange Info

COVID-19 Consent 

Informed Consent for Telepsychology

Couples Therapy Intake 

Couples Therapy Consent

Couples Therapy Intake- Spanish

Couples Therapy Consent- Spanish 

Family Intake Form 

Family Intake Form- Spanish

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