Forms

After scheduling your initial session please feel free to download and complete the following intake packet, consent forms, assessment tools and other documents and bring them to our first meeting to expedite the start of our work together. 

If you would like me to coordinate care with another provider (for example, a psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Note: To download Adobe Acrobat Reader for free, Click here.

Contact Me

Call (617) 334-7727 or Fill Out the Form Below

Location - 101 Cambridge St. Suite 365 Burlington MA 01803

Accessible to Merrimack Valley, North Shore and Boston via Rt 3, 95 and 93

Primary

Monday:

11:00 am-7:00 pm

Tuesday:

11:00 am-7:00 pm

Wednesday:

11:00 am-7:00 pm

Thursday:

Closed

Friday:

Closed

Saturday:

Closed

Sunday:

Closed