If you're a new client, please allow an additional fifteen minutes for your first therapy session. You will be required to fill out the following:
If treatment is for a minor the parent or guardian will be required to fill out the following:
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), you will be required to complete this form to authorize release of psychotherapy information:
We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.