Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

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:

Note: To download Adobe Acrobat Reader for free, Click here.

Healing Hastings

Address

9712 Fair Oaks Blvd,
Suite #C1,
Fair Oaks, CA 95628

Hours of Operation

Monday  

11:00 am - 5:00 pm

Tuesday  

11:00 am - 5:00 pm

Wednesday  

11:00 am - 5:00 pm

Thursday  

11:00 am - 5:00 pm

Friday  

Closed

Saturday  

Closed

Sunday  

Closed