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:

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CONTACT US

Reach out. Ask questions. Get connected.

  • Mood Resilience Therapy

    820 Gass Ave Suite B,
    Las Vegas, NV 89101

    Monday:

    9:00 am - 5:00 pm

    Tuesday:

    9:00 am - 5:00 pm

    Wednesday:

    9:00 am - 5:00 pm

    Thursday:

    9:00 am - 5:00 pm

    Friday:

    9:00 am - 5:00 pm

    Saturday:

    Closed

    Sunday:

    Closed

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Please do not submit any Protected Health Information (PHI).