FORMS
New patients, please download and bring the completed forms to your first session, or mail or e-mail me the forms. Call (510) 289-3197, or e-mail if you have any questions.
Forms Download
Individuals
Please download the 4 forms, fill out and bring to your first session:
Contact Information – Individual
Click to Download
Telehealth Policy
Click to Download
Office Policy – Individual
Click to Download
Treatment Goals – Individual
Click to Download
Couples
Please download the 5 forms, fill out and bring to your first session or return electronically prior to our first session:
Contact Information – Couples
Click to Download
Video Consent – Couples
Click to Download
Telehealth Policy – Couples
Click to Download
Office Policy – Couples
Click to Download
Treatment Goals – Couples (each of you should fill out a copy and return to me separately for confidentiality)
Click to Download