Switch to Accessible Site
Green Hills with Blue Sky

Office Forms

These three (3) forms need to be completed before therapy can begin.  Please download them, complete them, and return them to me via fax at (949) 756-9998 or when you come in for your first appointment.  Or, if you prefer, you may fill them out in person when you arrive at the office:

Please complete these forms as needed:

Please complete this form in the first few weeks of therapy:

Please complete this form if you would like me to coordinate care with outside parties (e.g., psychiatrist, physician, etc.):

This article will help familiarize you with Psychodynamic Psychotherapy.  Please read it at your leisure:




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




Schedule Appointment

Start your new path in life and be the change today!

Helpful Forms

Click here to view and print forms for your appointment.