1.  If you are a new client, please complete the following forms and email them to [email protected].

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:

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Insurance Form

Contact Us Today

We look forward to hearing from you


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