Here is the paperwork necessary to begin your therapy. Anytime before your first appointment please read through these documents so you will know what to expect in working with me. To save time at your appointment it is recommended that you print these forms out, complete them and bring them with you on that day. If you are not able to print these you may get a set at the appointment. If you plan to complete these forms the day of your appointment please be sure to allow enough time that day to read through and complete them before your scheduled session.
Please note: If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the Authorization to Obtain/Release Information form below to permit my sharing your confidential information with the provider you wish.
|New Client Information Form|
|Treatment Information and Agreement.pdf
|Notice and Acknowledgment of Privacy Practices HIPAA.pdf
|Authorization to Obtain/Release Information|
Note: To download Adobe Acrobat Reader for free, click here.
From 405 or 5 Freeways: Take 133 South (Laguna Freeway). Go south on Laguna Canyon to Laguna Beach. Turn left on Forest Ave. Follow Forest Ave. past Ocean Ave and around the curve, turning to the right at stop sign in front of the Fire Dept. You will be on the main shopping street in Laguna. At Glenneyre the second stop, turn left. My office, 380 Glenneyre, Suite D is just past Mermaid St. on your left before you reach the next stop sign at Park Avenue. Make a left turn through the breezeway into the parking lot of the 380 Glenneyre St. building.
From North of Laguna on Pacific Coast Highway: Take PCH south until you pass Main Beach in Laguna (basketball courts and beach on right, two gas stations on left.) Go two more lights and left at the second light, Forest Ave. At the stop sign turn right onto Glenneyre St. Just past Mermaid St. (the first street on your left,) turn left into the driveway for the 380 Glenneyre St. building and parking.
From South of Laguna on Pacific Coast Highway: Take PCH north until you reach the intersection of Laguna Ave and PCH (at the corner of the Hotel Laguna). Go right on Laguna Ave. to the 4-way stop. Go left onto Glenneyre St and almost immediately right into the driveway for 380 Glenneyre St.
Parking: The three parking spaces at the rear left side of the lot are labeled "The Psychology Center." You may park in any open "Center" space. If those spaces are full, there is metered parking on the adjacent streets. There is a metered parking lot next door across Mermaid on Glenneyre and another 2 story brick parking structure with meters one block past the office on Glenneyre on the right as you go up the hill.
Suite D is located on the second floor, to the right at the top of the stairs coming up from the parking lot. There is an engraved plaque beside the entrance door that reads "The Psychology Center". I look forward to meeting and working with you.