Helpful Forms

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

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information Form


Consent to Release
Confidentiality & Cancellation Policy
Client Intake Form

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

Contact Me

Face-to-Face Appointments in the Comfort of the Client's Home Only
Video Conferencing and Teletherapy by Zoom or GoTo Meeting
New York, Nassau, Suffolk, Counties and New York City


Availability

Primary

Monday:

9:00 am-9:00 pm

Tuesday:

9:00 am-9:00 pm

Wednesday:

9:00 am-9:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

By Appointment

Sunday:

Closed