If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
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 psychotherapy information:
- Authorization to Disclose Information Form
|Client Psychotherapy Intake Form|
|Limits of Confidentiality/Therapy Cancellation Policy|
|Authorization to Disclose Information Form|
Note: To download Adobe Acrobat Reader for free, click here.
Located in Columbia, Maryland. Serving the following counties in Maryland: Howard County, Anne Arundel County, Baltimore County, Montgomrey County, Prince Georges County, Frederick County, and Carroll County. I also provide services for individuals and couples who live in the surrounding communities of Ellicott City, Elkridge, Eldersberg, Frederick, Laurel, Scaggsville, Burtonsville, Olney, Dayton, Catonsville, Halethorpe, Fulton, Highland, Savage, Russett, Crofton, Fort Meade, Jessup, West Friendship, Silver Spring, Arbutus, Linthicum, Pasadena, Glen Burnie, Baltimore, Owings Mills, Timonium, Towson, Beltsville, College Park, Severna Park, Calverton, Washington D.C., Alexandria, Arlington, Fairfax, Falls Church, Chantilly, Leesburg, McLean, Mount Vernon, Tysons Corner, and Annapolis.