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Intake packets can be downloaded from below.

 

Make sure you choose the correct packet: 

Adult packets are for Adults and Couple's only*

Child packets are for persons 17 and younger only*

 

Please print and fill out the packet and bring it with you to your first appointment. 

 

For Kaiser patients, please include your Kaiser Authorizaiton Number on the intake form*

 

You can read the H.I.P.A.A. form below as well as a disclosure statement but do not need to print either of them. It is for your information only.

Resources

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