Please download and complete these documents 48 hours prior to your initial appointment. Please 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_v12102021.pdf | |
File Size: | 312 kb |
File Type: |
Inspired Mind Counseling
Madeleine Burkhart, MS, JD, LMFT
(925) 528-1363
Get Inspired.
Madeleine Burkhart, MS, JD, LMFT
(925) 528-1363
Get Inspired.