Forms

If you are a new client, please complete the following forms and bring them into your first session.

Biopsychosocial Assessment -History assessment about you

Collateral Disclosure- If you bring a friend or loved one into the session for support, please be prepared to sign the Collateral Form for protection.  

Confidentiality And Cancellation Policy-This form will describe my policy and procedures for any and all cancellations. 


If you would like for me to coordinate care with another provider (for example, you psychiatrist, primary care physician, etc.), please complete this form to authorize release of psychotherapy information to the Authorization to Disclose Information form.

Contact Me

Location

Availability

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

Appointments by Request

Sunday:

Appointments by Request

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