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 (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize the Release Of Information (ROI):

Forms for clinical supervision:

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

Please feel free to contact me!

LOCATION

835 SE Stephens St., #202 Portland, OR 97214 P: 503-568-1201

Availability

Monday, Saturday, Sunday:

Closed

Tuesday - Friday:

10 to 6