Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

*Client intake & consent.pdf


If you would like to pay with debit card or credit card please download and bring the following form:

*Card on file authorization form.pdf

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:

Release of medical information form.pdf

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

Contact Me

Location

Office

Availability

Primary

Monday:

12:00 pm-8:00 pm

Tuesday:

12:00 pm-8:00 pm

Wednesday:

12:00 pm-8:00 pm

Thursday:

12:00 pm-8:00 pm

Friday:

12:00 pm-8:00 pm

Saturday:

12:00 pm-8:00 PM

Sunday:

Closed