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.

Bowling Green Office (Main)

Address

2530 Scottsville Rd. Suite #22,
Bowling Green, KY 42104

Elizabethtown Office

Address

122 N Main St. Suite #201,
Elizabethtown, KY 42701

Richmond Office

Address

351 Radio Park Dr. Suite #201,
Richmond, KY 40475

Office Hours

Monday  

By appointment

Tuesday  

By appointment

Wednesday  

By appointment

Thursday  

By appointment

Friday  

By appointment

Saturday  

By appointment

Sunday  

Closed