(909) 618-8621 vnasser9210@gmail.com
Client Forms

Getting ready for your first visit

Secure online forms are on the way. In the meantime, contact us and we will help you get started.

Please note: do not send personal health information by email. Our secure forms will be available here soon, and we are happy to go over any paperwork with you directly.
Coming soon

New Client Intake

Basic information we gather before your first consultation.

Not yet available
Coming soon

Consent for Services

Agreement to begin services, including how sessions work.

Not yet available
Coming soon

Release of Information

Permission for us to coordinate with schools, doctors or other providers.

Not yet available
Available now

Notice of Privacy Practices

How we protect and handle your personal and health information.

Read the Notice

Ready to take the first step?

Reach out to schedule a consultation. We will listen, answer your questions and help you decide on the right next step.

Please do not send personal health details by email. We will discuss them privately during your consultation.