Please start here if you're a new client, and complete the following forms and we will contact you to schedule. We are currently scheduling as early as within a couple of weeks with one or two providers, and as late as four months with other providers. Thank you.
- Online New Client Registration Link
- Agreement for Services/ Card on File Form
- Protected Health Information Privacy Notice (for Your Info)
- Please email if you are having difficulty with the registration [email protected]
- If returning or additional documents are needed PLEASE see DOCUMENTS BELOW- THANK YOU!!
- Agreement for Services/ Card on File Form
- Copay Form
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.