Patient Portal

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:

• Release of Information Form

If you have recently visited our office, please complete our Client Satisfaction Survey:

• Client Satisfaction Survey

If you are a provider's office referring a client use this form:

• Referral Form

Note: To download Adobe Acrobat Reader for free, click here .

To Login To Your Patient Portal

www.therapyportal.com/p/swtc/