If you are a new client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
- Limits of Confidentiality/Therapy Cancellation Policy
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
- Authorization to Disclose Information Form
Client Psychotherapy Intake Form
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Limits of Confidentiality/Therapy Cancellation Policy | |
Authorization to Disclose Information Form | |
MFT First Appointment Intake Facesheet |
Note: To download Adobe Acrobat Reader for free, click here.
Rick Slinkard MFT / www.sdmft.com
San Diego Marriage Famiy Therapy
16935 West Bernardo Drive Ste 102
San Diego, CA 92127
858-413-5002
MFC 25850