Appointment Forms

After booking an appointment with Dr. Kelly by calling 908-349-0822 or using the Book Appointment button to the right of this page. You may pay for the appointment online using the Pay Online button to the right of this page OR pay session fees at the start of the therapy session.

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

therapy appointment Client Psychotherapy Intake Form
therapy appointment Therapy Cancellation Policy
therapy appointment Limits of Confidentiality
therapy appointment Outpatient Services Contract

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:

therapy appointment Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader for free, click here.