Intake Forms

If you're a first-time client, please review and complete the following forms, bring them to your first session.

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form
  • ACE Test

If we need to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

  • Consent to Release Information Form

Client Intake Form
Confidentiality and Cancellation Policy

Consent to Release

ACE Test


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

Contact Me

Location

Availability

Primary

Monday:

9:00 AM-5:00 PM

Tuesday:

9:00 AM-5:00 PM

Wednesday:

9:00 AM-6:00 PM

Thursday:

9:00 am-7:00 PM

Friday:

9:00 AM-4:00 PM

Saturday:

Closed

Sunday:

Closed