Helpful Forms

If you're a new client, please complete the Intake and limits of Confidentiality form and bring it to your first therapy session.

*    Client Psychotherapy Intake Form and Limits of Confidentiality/Therapy Cancellation Policy 

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:

*     Authorization to Disclose Information Form

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 .

Contact Me

Location

Availability

Monday:

3:00 pm-8:30 pm

Tuesday:

11:00 am-8:30 pm

Wednesday:

3:00 pm-8:30 pm

Thursday:

11:00 am-8:30 pm

Friday:

Closed

Saturday:

By Appointment

Sunday:

Closed