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Psychological Services:

Child/Teen Evaluation and Therapy
Family Therapy
Anxiety/Depression
ADHD
Autism Spectrum Disorders
Anger/Conflict
Relationship Problems
Learning Problems
Stress Management
African American Mother with Daughter
Family Having Fun

Forms and Documents

If you would like me to coordinate care with another provider (for example, your child's pediatrician, school, psychiatrist, your own primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Release of Information Form


For child clients, to be filled out by parent(s):  Below is a Child Intake Questionnaire and a Demographic Information form that I would like you to print and bring to your first appointment. 

Child Intake Questionnaire

Demographic Information (Child)


For adult clients, please fill out the Demographic Information form below and bring to your first appointment.

Demographic Information (Adult)


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

 

Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE