Mutual Patient Contact Form

It takes a village.

I love collaborating with other providers in NC, SC, and Michigan in support of our mutual patients.

Use this secure HIPAA-compliant form to share information about your patient's diagnosis of postpartum depression or anxiety (or other perinatal mood and anxiety disorder), current medications, treatment goals, assessments, or anything else you feel I should know.

You can also safely upload files, such as questionnaires or assessments, release of information forms, etc.