Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. (If you are scheduled for a teletherapy appointment, please email the completed forms to your therapist 24 hours prior to your teletherapy appointment.) The therapist email addresses are listed below.

Therapist's Email Addresses:

Rachel Holland, MBA, MA, LPC, NCC: [email protected]

Jacqueline Williams, MS, LCSW: [email protected]

Vicky Snysder, MS, LPC: [email protected]

Roy Cutter, MA, LAC: [email protected]elingsrv.com

Andreea Faur, MS, LAC: [email protected]

Alexandra Estavillo, MFT: [email protected]

Ian Holland, Administrator: [email protected]

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 .

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Helpful Forms

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