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New Client Forms
The In-Take form are available when you book an appointment with me here.
Current Client Forms
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.
74-075 El Paseo,
Palm Desert, CA 92260
Phone: (760) 834-9008