Forms and Billing Information

If you're a new client, please complete the following forms and email them to:  [email protected]                or bring them to your first therapy session.

Please print or download the Notice of Privacy Practices for your records:   

If you would like to coordinate care with another provider (for example: psychiatrist, primary care physician, etc.), please complete this form to authorize release of your protected health information:

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


We are pleased to offer an on-line bill pay option! To pay your bill online, simply click on the "Pay Now" button below.  You will be directed to a secure website.  You may then enter the amount you would like to pay and your credit card information where indicated.  Thank you for your prompt payment.  

Contact

Location

Office Hours

Monday:

By Appointment Request

Tuesday:

By Appointment Request

Wednesday:

By Appointment Request

Thursday:

By Appointment Request

Friday:

Closed

Saturday:

Closed

Sunday:

Closed