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Couple by a Lake
Couple by a Lake

Helpful Forms



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


 
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
San Diego Marriage and Famiy Therapy
16935 West Bernardo Drive Ste 102
San Diego, CA  92127
858-413-5002
MFC 25850 

 

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Helpful Forms

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