Download Forms

(Please print and bring completed forms to your first session)

Authorization to Release Confidential Information

DownloadDownload

Credit Card Authorization Form

DownloadDownload

Client Information & Emergency Contact

DownloadDownload

Optional Consent for Communication

DownloadDownload

Agreement for Service / Informed Consent

DownloadDownload

Contact
Contact Me Today for a Confidential Assessment

Call 310.929.0693 or fill out the form below.