Forms

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

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

We can coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information

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

Contact Me

18510 N Dale Mabry Hwy, Lutz, Fl 33548

Chateau Professional Park

Availability

In-person sessions and Teletherapy available!

Monday:

1:00 pm-8:00 pm

Tuesday:

1:00 pm-8:00 pm

Wednesday:

1:00 pm-8:00 pm

Thursday:

1:00 pm-8:00 pm

Friday:

1:00 pm-8:00 pm

Saturday:

10:00 am-6:00 pm

Sunday:

10:00 am-3:00 pm