Helpful Forms

New Clients must complete the online Intake form prior to your first session.

If you are using TeleHealth  or in person services you must complete this form online , make sure to fully complete this online form prior to pressing "submit".  The form will not be saved if you exit. 
Please complete online forms a minimum of 24 hrs in advance of your first session.
Let us know if you need assistance completing this form.  Use the link below:

*   https://form.jotform.com/20157...

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

Location

In the Brookshire Office Complex , North of the Ferman Chevrolet Dealership. Turn on Carrollwood Place Circle, then right into complex then left.

Availability

Mondays - Telehealth Only

Monday:

3:00 pm-7:00 pm

Tuesday:

11:00 am-7:00 pm

Wednesday:

3:00 pm-8:00 pm

Thursday:

11:00 am-7:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed