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 physicisian, etc.), complete this form to authorize release of psychotherapy information:

 

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If you are interested in a group session, please indicate which one

*We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other electronic form found on this website.This form is for general questions or messages to the practitioner.