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.

Contact Me

Location

  • Address

    79 S Benson Rd.,
    Unit 5,
    Fairfield, CT 06824

Hours

Monday - Friday
Contact For Availability
Saturday, Sunday
Closed
chiropractic spine

WHERE IS YOUR PAIN?

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