Forms

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

GENERAL

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:

COACHING

CREDIT CARD AUTHORIZATION FORMS

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Mental Health Counseling
Trauma Psychotherapy
Hypnotherapy
EMDR
Trauma Therapy

Contact Us

Main Location - (772) 486-4417

2630 SE Willoughby Blvd Suite B2 Stuart, FL 34994

Location (954) 303-8558

7860 Glades Rd Suite 225 Boca Raton, Fl 33434