If you're a new client, please complete the following forms and bring them to your first therapy session.
General Therapy Information
Adult Intake Questionnaire
Child Intake Questionnaire
- Adult Release of Information Form
- Child Release of Information Form
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.
Call me today for any questions or to schedule an appointment, you may call me at (562) 888-1856, or email me at any time at [email protected] I look forward to hearing from you.