Providing Teletherapy Services in Pennsylvania.

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.

Monday  

12:00 pm - 4:00 pm

Tuesday  

1:00 pm - 6:00 pm

Wednesday  

12:00 pm - 4:00 pm

Thursday  

1:00 pm - 6:00 pm

Friday  

12:00 pm - 4:00 pm

Saturday  

Closed

Sunday  

Closed

Contact Me

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Please do not submit any Protected Health Information (PHI).