12625 High Bluff Dr.
Suite 105,
San Diego, CA 92130
Phone
858.461.9409
For Adult Clients
If you’d like us to contact another clinician to coordinate care or obtain information regarding previous treatment, please complete the Release of Information Form, in addition to the intake forms below.
Consent and HIPAA
Release of Information Form
Intake forms
Social Media and Email Agreement
For Child and Adolescent Clients
If you’d like us to contact another clinician to coordinate care or obtain information regarding previous treatment, please complete the Release of Information Form, in addition to the intake forms below.
Consent and HIPAA
Release of Information Form
Child intake forms
Social Media and Email Agreement