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 release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, Click here.
I've included several ways to contact me. Please give me a call, send an email, or simply fill out the form on this page. I'm looking forward to speaking with you.
|
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. |
I've included several ways to contact me. Please give me a call, send an email, or simply fill out the form on this page. I'm looking forward to speaking with you.
|
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. |
3600 SW Burlingame Rd, Suite 2A
Topeka, KS 66611, United States
9:00 am - 7:30 pm
9:00 am - 7:00 pm
9:00 am - 7:00 pm
9:00 am - 7:00 pm
9:00 am - 7:00 pm
9:00 am - 5:00 pm
By Appointment Only