mid

Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. Please make sure that the four forms below are filled out for each member separately.

  • 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 .

Schedule Appointment

Start your new path in life and be the change today!

Click Here

Helpful Forms

Click here to view and print forms for your appointment.

Click Here