Policies & Practices

New Client Forms

Everyone experiences tough times in life. If you’re feeling like the steady ground beneath you has turned to quick sand, therapy can be the first step to pulling yourself out. For new clients, these are the forms we begin with. They’ll provide us both with basic information before we start our sessions together. You can bring them with you or I can have you fill them out in my office when we first meet.

HIPAA NOTICE

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HIPAA NOTICE

 

 

NEW CLIENT INFORMATION FORM

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NEW CLIENT INFORMATION FORM

 

INFORMED CONSENT CONTRACT

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INFORMED CONSENT CONTRACT

CREDIT CARD AUTHORIZATION FORM

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CREDIT CARD AUTHORIZATION FORM

RELEASE FORM

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RELEASE FORM

Off-Site Sessions

Most Sessions occur in my Santa Monica office.  However, I am able to meet off-site with clients who have extenuating circumstances or whose professional profile necessitates this in order to maintain confidentiality. For these sessions, an additional fee plus coverage of travel costs is required.