Forms

If you're a new client, please peruse the following documents and use as you see the need.


If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the following form to authorize release of psychotherapy information:


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

State Of Michigan

Address

Main Street,
Michigan, MI 000000

Office Hours

Monday  

11:00 am - 3:00 pm

Tuesday  

11:00 am - 3:00 pm

Wednesday  

11:00 am - 3:00 pm

Thursday  

11:00 am - 3:00 pm

6:00 pm - 9:00 pm

Friday  

Closed

Saturday  

Closed

Sunday  

Closed