Forms

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

Adult Client Forms:

Adult-Background-Information.pdf

Child Client Forms:

Child-Intake-Packet.pdf

Child-Background-Information.pdf

Telepsychology Consent Form

Telepsychology-Consent-Form.pdf

Optional Release of Information Form:

Release-of-Information-Form.pdf

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

Contact Me

Location

Availability

Primary

Monday:

8:30 am-4:00 pm

Tuesday:

8:30 am-6:00 pm

Wednesday:

8:30 am-4:00 pm

Thursday:

8:30 am-6:00 pm

Friday:

8:30 am-4:00 pm

Saturday:

Closed

Sunday:

Closed