Forms


All forms will be sent to you through the client portal once your initial appointment has been confirmed.  Watch for an email from Simple Practice, which hosts the client portal.  All paperwork can be signed online and printed for your records.  To set up your initial appointment, please click on the "Request Appointment" button above which will allow you to self-schedule.  

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:

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

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Shanthi Wellness, LLC

332 S. Linn St., Suite 37

Office Hours

Office Hours

Monday:

5:00 PM-9:00 pm

Tuesday:

5:00 pm-8:00 pm

Wednesday:

5:00 pm-8:00 pm

Thursday:

Closed

Friday:

Closed

Saturday:

Closed

Sunday:

Closed