If you're a new client, please complete the following forms and bring them to your first therapy session.
- Initial Assessment
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 Exchange and Release Confidential Information
If you are court ordered to attend either an Anger Management or Batterers' Intervention Group (Domestic Violence Group) please complete the following forms.
- Anger Management and Batterers' Intervention Intake Forms
|Authorizations to Exchange and Release Confidential Information
|Anger Management Group Curriculum
|Substance Abuse Group Curriculum
|Batterers' Intervention Intake Forms
Child Abuse Parent Education Intake Forms
Anger Management Education Intake Forms
Note: To download Adobe Acrobat Reader for free, click here .
PLEASE DO NOT USE THE SCHEDULE APPOINTMENT LINK BELOW.
CALL: 1-818-730-2960 or
EMAIL: [email protected]