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Therapy for IndividualsCouples, & Families
Couple Therapy Session

Intake Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

906 Sycamore Ave.
uite 100
Vista, Ca. 92081

Phone: 760-580-7708 
Fax: 760-941-6668

Client Psychotherapy Intake Form


Fees & Length of Therapy


Limits of Confidentiality/Therapy Cancellation Policy


Informed Adult Consent


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:


Authorization to Disclose Information Form


HIPPA Notification Release


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