The Information form asks for basic data about your and your family, including your medical history.  It also contains a disclosure form that outlines my policies on issues such as confidentiality, scheduling, and insurance practices.  We will discuss fees during our first session.

The HIPPA Consent form is not a release of information.  You would need to fill out a separate form to allow me to disclose your information to a third party.

The HIPPA Privacy Notice is a long list of the protections and limits to protection of your private information.

You can send the completed forms to me via email, fax the forms to me at (714)847-8909, or you can bring them to your first appointment.