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:

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

Please feel free to contact me!

LOCATION

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Office Hours

Rosanne Wild, LCSW

Monday:

Teletherapy by appointment

Tuesday:

Teletherapy by appointment

Wednesday:

Teletherapy by appointment

Thursday:

Office and Teletherapy sessions by appointment

Friday:

Office and Teletherapy sessions by appointment

Saturday:

Closed

Sunday:

Closed