Helpful 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:

  • Authorization to Disclose Information Form

 

Authorizati on to Disclose Information Form

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

For More Information

Location

Available By Appointment Only

Dr. Earnest is on a leave of absence from June 1st 2021 through September 6th 2021

Monday:

By Appointment Only

Tuesday:

By Appointment Only

Wednesday:

By Appointment Only

Thursday:

By Appointment Only

Friday:

By Appointment Only

Saturday:

Closed

Sunday:

Closed