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Therapy for Children, Adolescents,Young Adults, Individuals and Families
Men Therapy Session

Psychiatric Practice Helpful Forms

If you are a Blue Cross Blue Shield Client please fill out the form below and either fax or email the completed form to the office prior to your appointment. 

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: