top of page

IF YOUR’E A NEW CLIENT
Please complete the following forms and bring them to your first therapy session.
Always Confidentiality & Always Safe
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,
Insurance Accepted
*Don’t have insurance? Ask us about our sliding scale/ reduced rates




_RGB.jpg)

bottom of page