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.

Address

Providing Counseling Virtually in Alabama & Texas

Phone

256-770-9544

Monday  

9:00 am - 4:00 pm

Tuesday  

9:00 am - 4:00 pm

Wednesday  

9:00 am - 4:00 pm

Thursday  

Closed

Friday  

Closed

Saturday  

Closed

Sunday  

Closed