Please complete to following forms for your appointment:
/userfiles/2079575/file/Disclosure Statement.pdf
/userfiles/2079575/file/Child Information Form(1).doc
/userfiles/2079575/file/BibliographicalInformationForm.pdf
/userfiles/2079575/file/TeletherapyAddendum.pdf
/userfiles/2079575/file/covid19.pdf
If you would like me to coordinate care with another provider, psychiatrist
or medical doctor please complete the following form
userfiles/2079575/file/HIPPA Authorization Form.pdf
If you would like to preview a copy of our Privacy Practices, please view it
here:
userfiles/2079575/file/privacypractices.pdf
Note: To download Adobe Acrobat Reader for free,
click here .
