Forms

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


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:

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

Offices in Miami & Ft. Lauderdale

Telehealth Services Available in AZ, DE, FL, GA, MA, MD, NJ, NV, NY ,PA, SC, VA, WA.

Hours

Contact me for an appointment!

Monday:

Pre-Approved Assessments & Consultations.

Tuesday:

7:00 am-8:00 pm

Wednesday:

7:00 am-8:00 pm

Thursday:

7:00 am-8:00 pm

Friday:

7:00 am-8:00 pm

Saturday:

7:00 am-8:00 pm

Sunday:

Closed

Please feel free to contact me!