Forms

If you're a new client, you may complete paperwork ahead of time electronically through the MYIO portal. Please contact the office to get a link sent over if you did not receive this during scheduling. You may also choose to do paperwork ahead of time by filling out the paperwork linked below.

If you are going to bring completed paperwork with you, please call our office to let us know so we can adjust your arrival time. We build in extra time to all intake appointments to make sure you have time in person to complete everything before you see your provider. 

New Patient Packet

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: Release of Information

Note: To download Adobe Acrobat Reader for free, Click here.

Hampstead

16581 US HWY 17 North,
Suite 600,
Hampstead, NC 28443

Wilmington

1442 Military Cutoff B,
Wilmington, NC 28403

Office Hours

Monday  

8:00 am - 7:00 pm

Tuesday  

8:00 am - 7:00 pm

Wednesday  

8:00 am - 7:00 pm

Thursday  

8:00 am - 7:00 pm

Friday  

8:00 am - 4:00 pm

Saturday  

Closed

Sunday  

Closed