Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session or email the completed forms to [email protected].

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:


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

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.

Helpful Forms

Click here to view and print forms for your appointment.

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