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 .


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Helpful Forms

Click here to view and print forms for your appointment.