If you're a new client, please complete the following forms 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 .
If you are a Parent Coordination Client or looking for Family Reunification, please call me at 727-8495588 or Email me at [email protected]