DANA GIONTA, PH.D., MFT
PSYCHOLOGIST & PERSONAL COACH

DANA GIONTA, Ph.D.
(203) 234-2922
Dana@www.counselingconnecticut.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


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

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