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GrowthBRINGS POSITIVE CHANGE

Helpful Forms

If you're a new client in the Los Angeles area, please complete the following forms and bring them to your first session:

Client Information Form

Informed Consent

Authorization to Release Information

If you're a new client in the Palm Springs area, please complete the following forms and bring them to your first session:

Client Information Form

Informed Consent

Authorization to Release Information

 

 

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

 

Authorization to Release Information

 

 

 

 

 

 

 

 

 

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.

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