If you wish to become a new patient, please follow the instructions below.
- Please register as a new client and provide your insurance information (insurance not neccesary for services) by clicking on: http://www.psychselect.com/cgi-bin/therapyappointment/login.cfm?practitioner=18050
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 .
We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.