Make an Appointment: | Call or Text (501) 428-4010

Client Forms

Client Forms

If you are new, please feel free to fill out these intake forms before our first session.

Client Intake Form

Informed Consent

Notice of Privacy Practices

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information


Contact Today