Forms and Fees

When you contact this provider through the "Schedule Appointment" tab on the bottom of the home page, you will be directed to her secure hushmail account. She will direct you to the online forms available there

• New Client Information
• Informed Consent: Protocol and Fees
• Credit Card Authorization
• Release Of Information
• Telehealth Consent Form

FOR STIPULATED REUNIFICATION THERAPY CLIENTS ONLY

• Reunification Therapy

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