Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Intake Form/Social History
  • Limits of Confidentiality/Therapy Cancellation Policy

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 counseling information:

  • Authorization to Disclose Information Form

Client Intake Form
Limits of Confidentiality/Therapy Cancellation Policy
Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader for free, click here .

Availability

Wende Birtch

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

Location

Get in Touch

I look forward to hearing from you