Forms

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

Forms for Individual Counseling:


Forms for Couples Counseling (please complete a copy for each partner):


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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LOCATION

Appointment Times

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

Closed

Sunday:

Closed