Helpful Forms

If you're a new client, please complete the Intake form . 

If you are using TeleHealth services you can 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  24 hrs in advance of your session.
Let us know if you need assistance completing this form.

*    New Client Intake Form

To complete New Client Intake form online click on link below.  Make sure to fully complete the form prior to clicking submit.

*   https://form.jotform.com/20157...

For In Person Sessions please complete the form below for COVID-19 Informed consent and email prior to your session if possible.

*   COVID-19 Informed Consent

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

Monday:

3:00 pm-8:30 pm

Tuesday:

11:00 am-7:00 pm

Wednesday:

3:00 pm-8:30 pm

Thursday:

11:00 am-7:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed