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The future depends onwhat you do in the present
Man Standing in a Field

Helpful Forms

If you're a new client, please complete the following form and bring it to your first therapy session--Client Intake form. We do not take credit or debit cards, so please be prepared to pay by check or cash. Thank you!  We do have paypal on the site for the full hour session fee of $125.00. 

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:

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


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