Dr. Erene Soliman's Psychological Practice
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:
