Dani Graziano, MFT
COUNSELING FOR INDIVIDUALS &  COUPLES
Helpful Forms

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


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:


Below you will find my Notice of Privacy Practices which outlines how your Protected Health Information may be used. 

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