For New Clients
If you are a new client, please complete ALL of the forms in this section, and bring them to your first appointment:
If you would like us to coordinate care with another provider (for example, a psychiatrist, primary care physician, etc.), complete this form to authorize the release of psychotherapy or billing information. You can use the Restrictions on Communication form (below) to specify certain information that you do not want to be shared.
If you need all or part of your counseling record. Please allow 4-5 days to process.
Insurance Update Form
Please complete the on-line form below if you are an existing client, or if you are a new client who has been instructed to provide insurance information.
Interested in Becoming A New Client?
If you are interested in becoming a new client click the button below to complete the New Client Registration Form.