Client Forms

Below you will find my client intake forms.  Please review and fill out each form and bring the completed forms with you to your first session.  If you have any questions about a form or if there are any questions which are too challenging to answer, just leave that question blank and we can discuss the form/question in our 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 gwendolyn@gwendolynnelsonterry.com

Please bring the following 4 forms with you 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.