Forms
Please download and complete the intake forms, and the HIPAA form, and bring them to your appointment. If you have any questions, or are unable to download the forms, please contact me. Thank you.
Word Doc. PDF
Client Intake Form Client Intake Form
HIPAA Disclosure HIPAA Disclosure
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1200 Mt. Diablo Blvd.
Suite 404
Walnut Creek, CA 94596
925-324-0703
Email: TMaita@Rocketmail.com