Adult Client 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: In order to view forms you will need Adobe Acrobat Reader. To download Adobe Acrobat Reader for free, click here .

Contact Me

Location

Availability

Primary

Monday:

12:00 PM-5:00 PM

Tuesday:

12:00 PM-5:00 PM

Wednesday:

12:00 PM-5:00 PM

Thursday:

12:00 PM-5:00 PM

Friday:

8:00 am-4:00 PM

Saturday:

8:00 AM-4:00 PM

Sunday:

Closed