Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session .

Limits of Confidentiality/Therapy Cancellation Policy
Client Information Form
Client Rights Form
Payment Policy

Financial Form

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 .


Contact Me Today

Location

Appointment Times

Hours

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

Jackie only

Sunday:

Closed