Helpful Forms

If you're a new client, please print, complete the following forms and return the forms prior to your initial visit.   Please Note:  There may be a few other documents that will need to be also signed in your first session with me present.  

INDIVIDUAL THERAPY


If you would like me to coordinate care with another provider (for example, your psychiatrist, previous therapist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


COUPLES THERAPY 

(Print out one of each of the forms.  Both partners will need to sign the Registration Form and the Consent to Assessment and Treatment)


If you would like me to coordinate care with another provider (for example, your psychiatrist, previous therapist, primary care physician, etc.), complete this form to authorize release of psychotherapy information.  Both partners must complete and sign their own form for each provider.


Important information:

Please read to be informed, you do not need to print or sign


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

Availability

primary

Monday:

By appointment

Tuesday:

By appointment only

Wednesday:

By appointment only

Thursday:

By appointment only

Friday:

By appointment only

Saturday:

Closed

Sunday:

Closed

Contact Me

Explore, learn and connect with me if you have any questions or are ready to schedule an appointment.