Individual/Family/Couples/Teens/Child Therapy,  Children and Families of High-Conflict Divorce, Co-parenting, Reunification and Attachment Therapy, DOT/SAP Evaluations, Substance/Abuse Addictions, PTSD/Trauma

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New Patient 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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New Patient Forms

Click here to view and print forms for your appointment.

Click Here to Access Forms