Forms

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

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.

Please feel free to contact me!

LOCATION

Providing Teletherapy for all of Indiana

Office Hours

Primary

Monday:

Office hours vary

Tuesday:

Office hours vary

Wednesday:

Office hours vary

Thursday:

Office hours vary

Friday:

Office hours vary

Saturday:

Closed

Sunday:

Closed