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.

Primary Location

1730 West 25th St.,
Suite 1100,
Cleveland, OH 44113

Hours of Operation

Monday  

7:00 am - 6:00 pm

Tuesday  

7:00 am - 6:00 pm

Wednesday  

7:00 am - 6:00 pm

Thursday  

7:00 am - 6:00 pm

Friday  

7:00 am - 6:00 pm

Saturday  

7:00 am - 6:00 pm

Sunday  

Closed