Contact

In making an initial appointment, please fill out the intake form (a credit card on file is required) and the therapy agreement form, and send via email. Once I receive these forms you can make an appointment by contacting me via phone, email, or text (text is recommended for quicker response).

I also provide a free brief initial consultation via phone or email to briefly explore your needs, as well as explanation of my work to assist you in deciding if I’m the right therapist for you. 

annetteak@yahoo.com
(954) 471-4495

Forms

Intake Form*

Therapy Agreement Form*

Authorization For Disclosure