Home
About
Services
FAQ
Forms
Contact
(310) 365-4295
Now Offering
Telehealth Sessions
Samantha Wakach Forms
Home
/
Forms
Client Services Agreement
Download Form
Telemedicine Informed Consent Form
Download Form
Authorization to Exchange and Release Confidential Information Form
Download Form
Health Insurance Portability and Accountability Act (HIPAA)
Download Form
Adult Information Sheet
Download Form
Minor Child Information Sheet
Download Form
Credit Card Authorization
Download Form
“No Secrets” Policy for Family Therapy and Couple Therapy
Download Form