Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

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

Palos Verdes Estates

9300 Wilshire BLVD, suite 320
Beverly Hills, 90241

[email protected]
(310) 809-9035

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24520 Hawthorne Blvd, suite 104
Torrance CA 90505
9300 Wilshire BLVD, suite 320
Beverly Hills, 90241