909-725-4742 [email protected]


If you are a new client, please print and fill out the following forms and bring them with you to your first therapy session.

These forms and the information they provide us will help us in our work together. All information provided is confidential as outlined in the Office Policy form and the HIPAA Notice of Privacy Practices. If you do not wish to answer any of the questions asked, simply put “Do not care to answer.”

Have Questions? We Have Answers.