Eastern Services of Connecticut, LLC Psychotherapy for children, adolescents, adults, and families
Schedule an AppointmentContact Me
Eastern Services, of Connecticut, LLC
(860) 254-5127
easternpsy@cox.net
HELPFUL FORMS

If you're a first-time client, please review and complete the following forms, bring them to your first session.

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

  • Consent to Release Information Form

 


Client Intake Form
Confidentiality and Cancellation Policy
Consent to Release

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