Forms

If you are new, please feel free to fill out the Contact and Intake forms and bring them to the session. If we are meeting via televideo, please send them to me via my secure website at [email protected]  or physically mail them to the office on Eastridge Street.

• Client Contact
• Intake Assessment
• Limits of Confidentiality/Therapy Cancellation Policy

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