Helpful Forms

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 interested in examining topics focused on in either Anger Management (Batterers' Ingervention) or Substance Abuse Groups please see the links below.

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

Initial Assessment

Authorizations to Exchange and Release Confidential Information

Batterers' Intervention Intake Forms Child Abuse Parent Education Intake Forms Anger Management Education Intake Forms Anger Management Group Curriculum Substance Abuse Group Curriculum

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]