Please complete the Intake Questions in your 


Patient Portal 


If you need access to your Patient Portal, please contact kmeyerlcsw@protonmail.com

Please read the Privacy Practices Notice below: 

If you wish release your provider to share information with someone else, such as another provider, please complete the following: 

Social Responsibility Agreement

Please sign this form if you will be attending in-person sessions

If you are unable to access the Portal, please complete and email the following forms: