Forms

If you're a new client, please Click Here to contact me so that I can create an account for you. There you can create a log in where you can manage your profile on my HIPAA compliant portal, allowing you to digitally fill out forms, message me privately, make payments, etc. 

If you prefer to print and fill out your forms manually, please complete the following forms relevant to you and bring them to your first therapy session.


If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

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

Location

Availability

Primary

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

APPOINTMENT REQUEST

Please fill out this form and you will be contacted within 24 hours.