New Client Forms

If you're a new therapy client, please print out, complete and bring the following forms to your first therapy 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:


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

LOCATION

AVAILABILITY

Primary

Monday:

Closed

Tuesday:

10:00 am-6:00 pm

Wednesday:

10:00 am-6:00 pm

Thursday:

10:00 am-6:00 pm

Friday:

10:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

CONTACT ME