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 or individual (for example, your psychiatrist, primary care physician, child's teacher, etc.), please complete this form to authorize release of confidential information:

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

Primary Location

600 W. Campbell Rd., Ste. 1,
Richardson, TX 75080

Contact Me

!
!
!

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

My Availability

Monday  

9:00 am - 5:30 pm

Tuesday  

9:00 am - 5:30 pm

Wednesday  

9:00 am - 5:30 pm

Thursday  

9:00 am - 5:30 pm

Friday  

Closed

Saturday  

Closed

Sunday  

Closed