Forms

Forms

Please print and complete the following forms and bring them to your first therapy session.

Please read HIPAA Privacy Practice. On the Informed Consent Form, you will be asked to initial that you have read and understood.

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

Contact Me

LOCATION

Availability

Primary

Monday:

2:00 PM-7:00 PM

Tuesday:

10:00 AM-3:00 PM

Wednesday:

1:00 PM-7:00 PM

Thursday:

12:00 PM-5:00 PM

Friday:

Closed

Saturday:

Closed

Sunday:

Closed