Client Forms

After you have scheduled your first appointment, please fill out the following intake forms before our first session. Doing this ahead of your first appointment will save time and allow us to spend the bulk of our first session getting to know each other. If you do not have access to a printer, or would prefer to do this on the day of your first session, please let me know, plan to arrive 30 minutes prior to your first session, and I will leave an intake packet in our waiting room for you to complete.

Client Information

Client Intake

Office Policies & Treatment Consent

Notice of Privacy Practices

Acknowledgments & Appointment Reminders

Credit Card Authorization

Assignment of Benefits Authorization

If you feel that you would like to collaborate your session with another provider, simply fill out the following forms.

Authorization to Release Information

 

Contact Today



5655 Lindero Canyon Road Suite 724
Westlake Village, CA 91362

info@westlakevillage-therapist.com
(805) 601-7191

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