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 .

Contact Me Today

I look forward to hearing from you

Location

Availability

Monday:

12:00 pm-5:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

Closed

Thursday:

9:00 am-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Please call 716-440-5711 to see if new clients can be taken.

Appointments cannot be made online.