This document will assist in the process of gathering information about you, your background, and the nature of the issues that bring you in for treatment. Please fill out as much as possible in as much detail as possible. This form is a very valuable tool that helps speed up the process of evaluation and treatment planning. Be prepared that this is a lengthy and thorough document, so please allow appropriate time to fill it out as completely as possible.
To request a session, please fill out this contact form.