Forms

IF YOU ARE SEEING ANDI:

New clients for ANDI, 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:



IF YOU ARE SEEING JESS:

New clients for JESS, please print out and complete the following forms and bring them to your first therapy session.

If you would like Jess to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


Contact Me

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