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

Colton Office

• Personal Info Form
  
• Informed Consent Form
• Client Intake Form
• Limits of Confidentiality/Cancellantion Policy Form

Azusa Office

• Personal Info Form
• Informed Consent Form
• Client Intake Form
• Limits of Confidentiality/Cancellation Policy Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

• Consent to Release Information Form

Client Intake Form
Confidentiality and Cancellation Policy
Consent to Release

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