Switch to Accessible Site
Hands Holding Plant

Helpful 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.

I posted in another section about my CD. It will be helpful for me and you to be prepared to share your insurance information. The business side is not my favorite, yet if you are using your insurnace. I need the provider number on your card to call. It can be time consuming and a lot of people seem to be unaware of their benefits. If you would so kindly provide me with your member id, group id, date of birth, address, phone number, the name of your insurance and as stated the 800 number to call for providers. I will take care of that for you, so everything is squared away before you see me.
I hope this was helpful for you. I have learned many clients are in distress and it was taxing for them to go through the hoops. Again, I will do that for you. The main thing is I want to meet you and help you resolve whatever conflict or stressful situation you are experiencing.
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