Forms

For gender-affirming letters for hormones or surgery, please complete the following forms and submit them to semicolon[email protected] after we have set up an appointment. 


If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize the release of psychotherapy information:

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

Please feel free to contact me!

LOCATION

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Office Hours

Primary

Monday:

Closed

Tuesday:

2:00 pm-8:00 pm

Wednesday:

11:00 am-8:00 pm

Thursday:

11:00 am-8:00 pm

Friday:

2:00 pm-8:00 pm

Saturday:

10:00 am-4:00 pm

Sunday:

Closed