Please download, print (double-sided is fine), and complete these documents prior to your first session. Please bring them with you. If we are meeting via telehealth, please complete and email them to me at imclmft@gmail.com. Only sign the Release of Information form if you'd like me to share your information. Thank you!
|
| ||
| intake_espanol_v08272020.pdf |
Inspired Mind Counseling
Madeleine Burkhart, MS, JD, LMFT
(925) 528-1363
Get Inspired.
Madeleine Burkhart, MS, JD, LMFT
(925) 528-1363
Get Inspired.
