Switch to Accessible Site
Hands Holding Each Other
Hands Holding Hands

Helpful 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:


If you would like me to release information to a family member or other third party, complete this authorization form
:


If you would like to pay for psychotherapy with a credit card, complete this authorization form:


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


Schedule Appointment

Start your new path in life and be the change today!

CLICK HERE
Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE