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Printable Forms

New Client Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.
Client Intake Form
File Size: 75 kb
File Type: pdf
Download File

Limits of Confidentiality/Cancellations
File Size: 71 kb
File Type: pdf
Download File

Current Client 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:
Authorization to Disclose
File Size: 2382 kb
File Type: pdf
Download File

Note: To download Adobe Acrobat Reader for free, click here.
Contact Us
2450 Delany Avenue
Wilmington, NC 28403
(910) 477-7989
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HOURS

Monday

9:00am - 5:00pm
Tuesday
9:00am - 5:00pm
Wednesday

10:00am - 4:00pm
Thursday
9:00am - 5:00pm
Friday
9:00am - 12:00pm
Contact

Location
​
​2450 Delany Avenue
Wilmington, NC 28403

Website by TherapyPrime
  • Home
  • About
    • Meet Chris
    • Rates & Insurance Carriers
    • Privacy Policy
  • Therapy Specialties
    • Mental Health >
      • Mood Disorders
      • Depression
      • Anxiety Disorders
      • Panic Disorders
      • Adjustment Disorders
      • Post-Traumatic Stress Disorder
    • Personal Growth >
      • Self Esteem
      • Life Transitions
      • Social Skills
      • Stress Management
    • Coping Skills >
      • Grief Counseling
      • Anger Management
  • Resources
    • Printable Forms
    • What To Expect
    • Helpful Links
    • Common Questions
  • Contact
    • Book Appointment
  • Academic Underachievement
    • Children & Adolescents >
      • Mood Disorders
      • Anxiety Disorders
      • Identity Development
      • Academic Underachievement
      • ADHD
      • Depression