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Blue Mountains
Blue Mountains

New Client Forms

If you're a new client, please complete the following forms and bring them to your first session.

My office is at 3468 Mt. Diablo Blvd, suite B301 in Lafayette, CA.  There is a waiting room with a panel of lights.  When you get there, have a seat in the waiting room and press the light corresponding to my name, and I will meet you in the waiting room as soon as possible.


If you would like me to coordinate care with another provider ( your psychiatrist, primary care physician, another therapist or your child's school), it is required by law that you sign this form.

Note: To download Adobe Acrobat Reader for free, click here.

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Helpful Forms

Click here to view and print forms for your appointment.