Initial Forms



If you are a new client, please complete the following forms and bring them to your first therapy session.  If you have any questions or concerns then discuss them with me prior to signing any documents.

  • Client Psychotherapy Intake Form
  • Please read the Notice of Privacy Practices and Client Rights and Responsibilities Located on this website under "Privacy and Policy", and then printout, read, and sign the Consent to Treatment linked below.


Client Psychotherapy Intake Form
Consent To Treatment

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

Contact Me

LOCATION

Availability

Primary

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:

Closed

Sunday:

Closed