Joy's Forms
This form is required for all clients. It is a contract that defines the parameters of our therapeutic relationship.
This form must be completed by a parent or guardian if the primary client is a minor. For more information about California laws pertaining to the treatment of minors click here or visit Teen Health Law.
This form is required if you would like me to contact any of your other medical or mental health providers in order to obtain information that might aid in the theraputic process.
This form is required for all clients. Your completion of the form provides me with your address and contact information, basic medical and biographical history, and insurance information (if applicable).
Telehealth allows me to diagnose, consult, treat and educate clients using interactive audio, video or data communication.
Important Forms
You may either complete these forms online and then print them out, or you may print them out and then complete them.
Holly's Forms
This form is required for all clients. Your completion of the form provides me with your address and contact information, basic medical and biographical history, and insurance information (if applicable).
This form is required for all clients. It is a contract that defines the parameters of our therapeutic relationship.
Telehealth allows me to diagnose, consult, treat and educate clients using interactive audio, video or data communication.
This form must be completed by a parent or guardian if the primary client is a minor. For more information about California laws pertaining to the treatment of minors click here or visit Teen Health Law.
This form is required if you would like me to contact any of your other medical or mental health providers in order to obtain information that might aid in the theraputic process.
This form is to be completed for those who have not been seen in the last 6 months or have had a change of insurance or personal contact information