![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
New Client Forms |
![]() |
• General Questionnaire (.pdf) • HIPPA Disclosures (.pdf) • Informed Consent (.pdf) • Insurance Information & Consent to Bill (.pdf) • Out of Pocket Agreement (.pdf) |
![]() |
![]() |
![]() |
![]() |
2016 © EMDR West Los Angeles All Rights Reserved. |