Forms

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

2.  If you would like me to coordinate care with another provider (for example, a teacher, former therapist, primary care physician, etc.), complete this form to authorize the release of psychotherapy information:

3.  If you are separated or divorced (or in the process of either), please read and sign the associated policies:

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

Contact Us Today

We look forward to hearing from you

Location





            To Schedule an Appointment,                      please contact Susan at (800) 890-1962                                    or  via email at                                          [email protected]