Accessibility View Close toolbar

Forms

New Client Forms

 

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

CLIENT DEMOGRAPHICS FORM

INFORMED CONCENT

BIOPSYCHOLOGY HISTORY

If you would like your student therapist to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize the release of psychotherapy information.

Release of Information

Also, please be sure to review our HIPAA Policy.

 HIPAA

Contact Me

Location

Availability

Primary

Monday:

10:00 am-9:00 pm

Tuesday:

10:00 am-9:00 pm

Wednesday:

10:00 am-9:00 pm

Thursday:

10:00 am-9:00 pm

Friday:

10:00 am-5:00 pm

Saturday:

8:00 am-2:00 pm

Sunday:

Closed