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(707) 775-5666

(707) 775-5666

  • Home
  • Apointments
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  • Forms

Welcome to Our "Forms" Page

There are forms here for our work together.  The first section of "Bring With You" are forms that you can fill out and bring with you to give us a jump start during our first session.  

bring with you forms:

 These are forms to print, fill out, and bring with you to our first session.  ( Even better, f you can fill them out and send them back before our session.)  If these seem straightforward sign them and bring them.  If you have a question, or are uncomfortable signing, make a note on the form,  don't sign it, and bring it with you so we can discuss your hesitation.  NOTE: you will only need the "Release & Request for Information" form if there is someone you would like me to talk about your case with.  For example: a past therapist or physician.

Client Info sheet (pdf)Download
Informed consent (pdf)Download
Notice of Privacy (HIPPA) Policy (pdf)Download
Release & request for information (pdf)Download

As we go along: I may ask you to fill some of these out

Files coming soon.

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  • Limited Diagnostic Eval.