Helpful Forms

                                   

                                                            Please start here if you're a new/returning client, and complete items #1 and #2  and then contact our office to schedule.  

                                                            The current scheduling varies anywhere from 3-8 months.  Thank you.  

1.  Agreement for Services/ Card on File Form   

 2.  Online Client Registration Link 

• Protected Health Information Privacy Notice (for Your Info)
• Please email if you are having difficulty with the registration [email protected] or [email protected]
• Copay Form (If needing to update)

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

• Authorization to Release Information
• Authorization to Release Records/ Reports

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