Forms Please fill out the below applicable forms and bring them to your first therapy session. Thank you. New Client Information Informed Consent for Treatment and-or Evaluation Confidentiality Statement HIPPA Privacy Form Appointment Protocol Authorization to Release Info Consent to Record Consent to Treatment Guidelines & Policy Procedures Please feel free to reach out to schedule an appointment. You can call me at 951-684-6684 or request an appointment online. REQUEST AN APPOINTMENT My desire is to teach people how to effectively listen and openly communicate, with the ultimate goal of achieving a safe and healthy family environment where all members have a voice and heart to listen.
