If you're a new client, please complete the following forms and fax/mail them before your first therapy session.
- Client Psychotherapy Intake Form
- Informed Consent for Participation in Telebehavioral Health Services (Telehealth)
Mailing address: 57 Mulberry St. Springfield, MA 01105
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.