Accessibility View Close toolbar

Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. To access these forms, click on the links below.

Adult Psychotherapy Intake Form

Adolescent Psychotherapy Intake Form 

Patient Information Form 

Informed Consent to Psychotherapy/Limits of Confidentiality 

Cancellation Policy/Notice of Privacy Practices 

Medication Management Form (if applicable)

Authorization to Disclose Information Form (if applicable) 

Note: To download Adobe Acrobat Reader for free, click here.

Contact Me

LOCATION

Availability

Primary

Monday:

8:15 am - Evening Hours

Tuesday:

8:15 am - Evening Hours

Wednesday:

8:15 am - Evening Hours

Thursday:

8:15 am - Evening Hours

Friday:

By appointment

Saturday:

Closed

Sunday:

Closed