Forms

If you're 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.

Branch and Vines Counseling Corner

Address

867 Main St.,
Suite 4a1,
Manchester, CT 06040

My Availability

Monday  

By Appointment

Tuesday  

Closed

Wednesday  

By Appointment

Thursday  

By Appointment

Friday  

Closed

Saturday  

By Appointment

Sunday  

By Appointment