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.
To complete New Client Intake form online click on link below. Make sure to fully complete the form prior to clicking submit.
For In Person Sessions please complete the form below for COVID-19 Informed consent and email prior to your session if possible.
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: