Helpful Forms

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

• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy

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:

• Authorization to Disclose Information Form

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

If you have any issues or questions regarding the forms, feel free to give me a call at (301) 675-1313 .

To schedule an individual, children, couples, or marriage therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or give me a call at (301) 675-1313 .