forms & questions

Please read and/or fill out the forms, and bring them to your first appointment. Looking forward to seeing you soon!

Registration Form (please complete)
Professional Service Agreeement (please read and sign)
HIPPA (for your records)
If you would like me to communicate and coordinate care with another provider (your PCP or psychiatrist etc.), please complete this form to authorize release of psychotherapy information. 
Release of Information
Note: I am a contracted therapist at The Center for Postpartum Family Health, supervised by the director of the center, Sherry J Duson, LMFT-S, LPC-S. All paperworks are associated and managed under the Center for Postpartum Family Health. 
visit my FAQ page 



Answers to the most commonly asked questions regarding my counseling services