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Chuck Houston, LICSW
"If the only tool you have is a hammer, you tend to see every problem as a nail"
- Abraham Maslow
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.
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