Please download and fill out all of the forms below, and bring them to your first appointment.
If you are a couple, each person should fill out their own HIPPA and Client Information Form.
- Intake Form
- HIPPA Form
- Acknowledgement of HIPPA
- Individual Guidelines
- Group Guidelines (for group members only)
- Telemedicine Informed Consent Form
- Group Agreements (for group members only)
Payment Option
For initial appointments checks, venmo or cash are accepted and are due at the time of service.
Interested in a consultation?
Complete the form below to request an appointment.