Forms

If you're a new client, 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:

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

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We look forward to hearing from you

Location

Availability

Love to SpeakLife over You!

Love to SpeakLife over You!

Monday:

6:00 pm-8:00 pm

Tuesday:

6:00 pm-8:00 pm

Wednesday:

Closed

Thursday:

Closed

Friday:

Closed

Saturday:

By Appointment

Sunday:

Closed