Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. **FOR TELE COUNSELING CLIENTS, AN INFORMED CONSENT FOR TELEHEALTH WILL BE EMAILED TO YOU TO COMPLETE AND EMAIL BACK VIA A HIPAA COMPLIANT PLATFORM.** 

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

Primary

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

1:00 pm-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed