New Client FormsThe 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:
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Toltec Therapy
73550 Alessandro Drive, Suite 200 Palm Desert, CA 92260 Phone: (760) 834-9008 hdiaz.mft@gmail.com | ||||||
