If you're a new client, please complete the Intake and limits of Confidentiality form and bring it to your first therapy session.
Only complete the form below If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.) and to authorize release of psychotherapy information:
You can complete this form online by downloading the form with adobe and using the fill & sign option. Send completed forms 24 hrs in advance of your session to [email protected]
Note: To download Adobe Acrobat Reader for free, click here .