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:

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My Availability

Monday  

7:00 am - 5:00 pm

Tuesday  

7:00 am - 5:00 pm

Wednesday  

7:00 am - 5:00 pm

Thursday  

7:00 am - 5:00 pm

Friday  

By Appointment Only

Saturday  

By Appointment Only

Sunday  

By Appointment Only