Phone: 612-766-9255 Email:

Psychotherapy Forms

If you are interested in psychotherapy, I would appreciate you contacting me at 612-766-9255. After we have agreed to make an appointment, please print (on one side of the paper), read and complete the following forms. Please mail the originals and a copy of your insurance card into my office. If you're going to use insurance, please contact your insurance company to determine your coverage. Thank you.

Integrating Mind, Body, and Heart

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