Client Forms

Below you will find my client intake forms.  Please review, fill out each form, scan and email the completed forms to me before your first session.    If you have any questions prior to our first meeting please feel free to call me at (619) 383-1900 or email me at

Please email me the following 4 forms prior to your first appointment.  

If you work with another provider such as a psychiatrist, dietitian, or doctor it may be helpful for me to communicate with them.  In order for me to contact your other provider I will need you to fill out a Release of Information giving me permission to contact this provider.  If you have a provider you would like me to consult with, please fill out the form below.