Formas de Cliente

In English

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Client Intake Form

Information Sheet

Adult Consent Form

Minor Consent Form

Limits of Confidentiality

Notice of Privacy Practices

Acknowledgment of Receipt of Notice of Privacy Practices

Authorization to Exchange Confidential Information
Jeanette Razo-Gonzalez, LCSW verified by

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