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Forms

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

Intake 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:

Release of Confidential Information

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LOCATION

Availability

Primary

Monday:

Closed

Tuesday:

8:30 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

8:30 am-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed