Forms

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

Psychotherapy Consent Form

Patient Registration Form

Patient Intake Questionnaire

Telehealth Consent Form

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:

Authorization to Release Information

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

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Location

Two Locations- Pacific Guardian Building and Century Square

Office Hours

Available only by appointment

Primary

Monday:

By Appointment Only

Tuesday:

9:00 am-7:00 pm

Wednesday:

By Appointment Only

Thursday:

By Appointment Only

Friday:

9:00 am-7:00 pm

Saturday:

9:00 am-7:00 pm

Sunday:

Closed