New Patient Forms

Parents of adolescent patients please complete and submit both of the following forms. Adult patients complete and submit only the  New Patient Paperwork.

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.

Contact Me

Location

Availability

Primary

Monday:

11:00 am-6:00 pm

Tuesday:

4:00 AM-6:00 PM

Wednesday:

11:00 am-7:30 pm

Thursday:

12:00 AM-6:00 PM

Friday:

11:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed