Helpful Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session at Divine Wellness Therapeutic Center. Contact us for more information.

Check Out Our Forms

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.
We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

Be Prepared for Your Appointment

We're now offering virtual appointments.