PRINTABLE CLIENT INTAKE FORMS
Please scan and email back to the office.
If you want me to coordinate care with another provider (for example, your primary care physician, psychiatrist, etc., please complete this form to authorize release of therapy information:
Refocus - Authorization of Release & HIPPA Rights
For NEW CLIENTS, please contact me by email or telephone to discuss the intake paperwork and schedule your Intake session.
If you are an EXISTING CLIENT, please feel free to schedule your next appointment. Log into the Therapy Notes Client Portal below to check available days and times.
You can also give me a call or send me an email for appointment openings.