Practice Forms

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

The Telemedicine Consent Form is in case you wish to have the option of a phone or skype session at any point during our work together.

If you have Medicare insurance, you must fill out the Medicare Non-participation Agreement and bring it to the first visit.

Patient Information Sheet
Privacy Notice
Release To Primary Care Provider
Telemedicine Consent Form
Electronic Communication Consent Form
Medicare Non-participation Agreement

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

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LOCATION

Appointment Times

Monday:

Closed

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-2:45 pm

Thursday:

8:00 am-2:45 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed