Client Forms
"I have so much paperwork. I'm afraid my paperwork has paperwork." - Gabrielle Zevin
"I have so much paperwork. I'm afraid my paperwork has paperwork." - Gabrielle Zevin
Youth Counseling Services
Youth Counseling Services
If you are seeking counseling services for your child/dependent and would like to begin the intake documentation and schedule an appointment. This is a HIPAA compliant platform.
Adult Counseling Services
Adult Counseling Services
If you are seeking counseling services and would like to begin the intake documentation and schedule an appointment. This is a HIPAA compliant platform.
Referring Agency
Referring Agency
If you are referring someone to counseling services through an agency (i.e., Juvenile Probation, Division of Child and Family Services, etc.) you may download and print the referral form here. Please send it to: [email protected]
Group Counseling Services
Group Counseling Services
If you are seeking group counseling services and would like to begin the intake documentation prior to your first scheduled appointment you may download and print the consent form here. Please know, I require an initial intake assessment to be completed prior to group therapy to ensure clinical recommendations are appropriate.
Pahrump
Pahrump
Address: 1321 S. Hwy 160, Suite 3E | Pahrump, NV 89048
Phone: 725-724-5779
Fax: 702-931-9962
Email: [email protected]
Las Vegas
Las Vegas
Address: 7495 W. Azure Drive | Las Vegas, NV 89130
Phone: 725-724-5779
Fax: 702-931-9962
Email: [email protected]