Forms

If you are a new client, please complete the following forms and bring them to your first therapy session.

If you are using Telemental Health services, please sign the waiver below.

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.

Other Forms:

Life Coach Questionnaire

New clients or current clients, click here for patient portal.

Contact Me

Email: [email protected]

Location

Office in Rockville, MD; Servicing the Maryland Suburbs in the Greater DC and surrounding area and St. Mary's County

Hours and Availability

Schedule

Monday:

9:00 am-7:00 pm

Tuesday:

8:00 am-10:00 am

5:00 pm-7:00 pm

Wednesday:

5:00 pm-7:00 pm

Thursday:

10:00 am-7:00 pm

Friday:

8:00 AM-12:00 PM

Saturday:

Closed

Sunday:

8:00 AM-3:00 PM