Policies, Procedures, Forms

Welcome!!! I look forward to working with you and being a part of your progress.

About Our Work Together

  Our work together is ideally a partnership. Your goals and needs will be addressed with honesty and openness. In addition to good communication between us, you will need to put forth effort between sessions in order to gain maximum results.
   Benefits that can come from therapy include a general improvement in your relationships, better decisions, reduced stress, and general
improvement in the quality of your life.
   There are also risks. As you explore important areas of your life, you may experience discomfort, pain and/or anxiety. As we progress, it
important that you discuss any issues that you are having with me or the process so that we can progress well.

   We shall work on successful accomplishment of your goals through regularly scheduled appointments. Each scheduled appointment is a time set
aside only for you. If you miss or cancel an appointment without 24 hours notice, you will be charged the full fee.

Finances and Insurance
   I am on most insurance panels. This means that you will pay your copayment at the beginning of your session. Amount of copayment is usually on
your insurance card. I shall then bill your insurance.
   If you do not have insurance or do not wish to go through your insurance company, we can negotiate a fee. It will be payable also at the
beginning of your session.
   I can be contacted by calling 714 838-4174. You will probably get my voice mail. Feel free to leave me a message – it’s confidential. I try to
return phone calls within 24 hours.
   If you are in crisis, leave me a message. Then hang up, and either call 911 or go to your nearest emergency facility.
You will not be charged for a few short phone calls. Calls of ten minutes or more will be charged by the quarter hour and are not covered by
   If you need a written report, there will be a charge depending on length and complexity.

Before you come to your first appointment, please download, review, fill out and sign the New Patient Packet forms. Bring signed forms to your first session. You will have one other form to fill out when you come to your first appointment. Also, please download Directions to my office.

Tele-Health Forms

Tele Mental Health Consent Forms Part 1
Tele Mental Health Consent Forms Part 2
Health Insurance Claim Form

Please fill out these forms is we will be doing video sessions.

Website Document Form

Schedule Appointment

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