Appointment Request

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Office Location

Appointment Notes:

To schedule an individual appointment or to obtain additional information about any of these counseling services, please fill out the form below or give me a call at 720-625-1074

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website.

Office - Location:

8750 E Yale Ave
Unite A
Denver, CO 80231

Helful Forms


If you’re a new client, please complete the following forms and bring them to your first therapy session.

icon_pdf – Intake Form

icon_pdf – Disclosure Statement

icon_pdf – Client Record


To coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

icon_pdf – Authorization to Disclose Information Form

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

Contact Me

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