Client Forms

If you’re a new client, please complete the following forms.

Intake Forms

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:

Authorization to Disclose Information Form

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

Ready for Counseling?

You can schedule an appointment at anytime by clicking the schedule now button below or by calling tel: 9182178030.