If you're a new client, please complete the following forms and bring them to your first therapy session.
- New Client Information Form
- Spanish New Client Information Form
- Non-Custodial Parent Consent to Treatment
- Tele-Counseling Consent Form
- Credit Card Authorization Form
- BBS Notice to Clients
- Fee Schedule
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:
If you are a Kaiser client:
Note: To download Adobe Acrobat Reader for free, click here.