Helpful Forms

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

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

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
Client Psychotherapy Intake Form 
Limits of Confidentiality/Therapy Cancellation Policy 
Authorization to Disclose Information Form 

Note: To download Adobe Acrobat Reader for free, click here.  

Offering Therapy and Counseling services: including: Couples Counseling, Marriage Counseling, Teen Issues,  Group Therapy, Psychotherapy, Child Therapist, Adolescent Therapist

Serving the areas of: Malibu, Calabasas, Pacific Palisades, Agoura Hills, Santa Monica, CA | California

Helpful Forms

Click here to view and print forms for your appointment.

Helpful Forms