Helpful Forms

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

If you would like me to coordinate care with another provider (for example, your 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 Us

Send Us An Email Today! We'll Provide You With That Winning Smile!

Our Location

545 E. Market Street Suite G | Leesburg, Virginia, 20176

Hours Of Operation

We look forward to hearing from you.

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-6:00 pm

Friday:

8:00 am-6:00 pm

Saturday:

8:00 am-6:00 pm

Sunday:

8:00 am-6:00 pm