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Before your appointment

Please fill out the following forms before your first meeting. You may download and print these forms by clicking on the name of the form.

If you are a new client you can review and complete the following forms and bring them with you to your first session:


After the form opens, you may save it in your computer by clicking the 'Save As' button on your browser. You may also print them directly from your computer by selecting 'Print'.


Telephone 310-475-7535
10444 Santa Monica Blvd.
Suite 302
Los Angeles, CA 90025
EMDRIA  Approved Consultant :: EMDR CertifiedTtherapist :: Trained in TRM

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