Patricia Kaiser
(831) 728-4243
ucn2u@yahoo.com
HELPFUL FORMS

If you're a new client, please complete the following forms.  The client intake form should be filled out ahead of time and brought to your first session.  You will not be able to fill it out at my Watsonville (Sunset State Beach) office, as I do not have a waiting room there (but do have one in my Soquel office).   At the end of your first session I will have additional comprehensive mood surveys to give to you to be filled out prior to your second session.

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information Form

 


Client Intake Form
Confidentiality and Cancellation Policy
Consent to Release

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