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.

Primary Location

47-49 Imperial Road,
Exmouth, DEV 01395

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

Regular Hours

Monday

9:00 am - 7:00 pm

Tuesday

4:00 pm - 7:00 pm

Wednesday

3:15 pm - 7:00 pm

Thursday

3:30 pm - 6:00 pm

Friday

9:00 am - 5:45 pm

Saturday, Sunday

Closed