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 release of psychotherapy information:

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

Please feel free to contact us!

Trinity United Methodist Church

First Congregational Church

Faith United Methodist Church


First United Methodist Church- Hobe Sound

St Gregory's Episcopal Church

FERNANDINA BEACH

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