Please complete to following forms for your appointment:
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 .