Helpful Forms

All new clients, please complete all four form in the links below, scan, fill out, sign and email to [email protected] before your first appointment:   

Client Intake Form

Confidentiality and Cancellation

Telemental Health Counseling Form

I will give you a monthly bill to submit to your insurance company, I am an out of network provider.  

Appointments are currently online only

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