Forms

If you're a new client, please complete the following forms and bring them 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.

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Please do not submit any Protected Health Information (PHI).

Availability

By Appointment

Primary

Monday  

10:00 am - 7:00 pm

Tuesday  

10:00 am - 7:00 pm

Wednesday  

10:00 am - 7:00 pm

Thursday  

10:00 am - 7:00 pm

Friday  

10:00 am - 7:00 pm

Saturday  

10:00 am - 7:00 pm

Sunday  

Closed