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.

Contact Me

Location

Availability

Call or Email to Request

Primary

Monday:

Available by Request

Tuesday:

Available by Request

Wednesday:

Available by Request

Thursday:

Available by Request

Friday:

Available by Request

Saturday:

Available by Request

Sunday:

Available by Request