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Forms

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


If you would like me to coordinate care with another practitioner (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of  information:

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Contact Me

Location

Availability

Primary

Monday:

10:00 am-2:00 pm

Tuesday:

Closed

Wednesday:

Closed

Thursday:

Closed

Friday:

Closed

Saturday:

11:00 am-3:00 pm

Sunday:

11:00 am-3:00 pm