Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.
If your session is through Tele Health you will need to either email or fax me the forms. You can email me at [email protected] or fax it to  866-500-3751.

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.

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