New Client Forms

There are 2 forms that need to be filled out for our first appointment which include 1) new client paperwork and 2) adult intake, child intake form, or couples intake form (whichever is applicable). if you are coming in as a couple, you will each need to complete a set of forms 1) New Client paperwork and 2) Couples intake form (total of 4 forms). Please note that forms will need to be submitted electronically by fax 760-334-8767 or i will send you a secure email so they are sent in a hipaa compliant format. I have also included a copy of my HIPAA notice of privacy practices for your reference.

Download New Client Paperwork

Download HIPAA Notice of Privacy Practices

Download Adult Intake Form

Download Child Intake Form

Download Couples Intake Form