Helpful Forms

If you're a first-time client, please review and complete the following forms, bring them to your first session

Client Intake Form

Permission to Treat Minor

HIPPA Policy Concerning Text and Email Messages

HIPPA General Policy

Acknowledgement of HIPPA Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

Authorization for the Release of Healthcare Records

Note: To download Adobe Acrobat Reader for free, click here .

Contact Me

Location

Availability

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed