New Client Forms

If you are 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:

School Counselors, Physicians, Probation Officers:
To refer a client for therapy, please submit this referral form by fax or email


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

Schedule Appointment

Start your new path in life and be the change today!

Click Here

Helpful Forms

Click here to view and print forms for your appointment

Click Here