Forms

forms

If you're a new client, you will be given a link to the Simplepractice Portal and will be directed to read, fill out and digitally sign several forms. Those forms will include:

  • Client Psychotherapy Intake Form
  • Informed Consent for Psychotherapy/telehealth
  • Privacy Practice Policies

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:

  • Authorization to Disclose Information Form

Always feel free to contact me to discuss any questions you may have by phone, e-mail or during our Intake.

Please Feel Free To Contact my Office Anytime

Location

Openings Available

Office Hours

Available Telehealth Tues & Wed and In-Person Thurs & Fri Sessions

Monday, Saturday, Sunday:

Closed

Tuesday - Friday:

8:00 am - 5:00 pm