(505) 504-5449

Forms

Individual Therapy Intake This is an intake packet for people interested in individual counseling.
Family Therapy Intake This intake packet if for people interested in family therapy who want to bill their insurance.
Couples Therapy Intake This intake packet is for couples therapy where insurance is not being billed.
CNM Relationship Therapy Intake This intake packet is for couples therapy with more than two people, where insurance is not being billed.

Notice of Privacy Practices This is a form that covers your privacy rights, informed consent, and information about my practice
Credit Card Authorization This is a form if you want to leave a credit card on file.
Release of Information (as needed) This form is used if you want me to have contact with somebody else regarding your services.
Payment Agreement (for self-pay) This form is for full scale or sliding scale payment arrangement.
Technology Safety Recommendations In the era of technological breaches, these data security recommendations can be helpful to protect your privacy online.

Hours of Opperation

I am open Monday - Friday from 10 AM - 7 PM. All appointments are by prior arrangement only. I will try to work around your schedule as much as possible in scheduling appointments.

Recent Updates

I will be conducting a series of surveys to better understand some of the unique mental health needs of people today. Please feel free to complete these brief surveys hosted by Survey Monkey. Results from these surveys will periodically be shared via twitter and facebook; however your specific responses will not be shared. Anonymous responses are enabled and encouraged. Thanks!