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If you're 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
Note: To download Adobe Acrobat Reader for free,
Click here.
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Reach out to us today to get started. Call us at (310) 925-3852 to start the process.
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Bilingual in Hindi and Urdu
609 Deep Valley Drive, Suite 200
Rolling Hills Estates CA 90274.
(310) 925-3852
info@everlightmentalhealth.org
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