New Client Paperwork

Prior to your first visit, please print, read and complete the Client Intake, Informed
, and HIPAA Notice of Private Practices forms in either PDF or Word
format. By bringing these completed forms to your first session, we can effectively use
the time we have together on treatment.

Client Intake Form - Adult (MS Word)

Client Intake Form - Minor (under 18 years old) (MS Word)

Informed Consent (MS Word)

HIPAA Notice of Privacy Practices (PDF)
HIPAA Notice of Privacy Practices (MS Word)
All rights reserved.
Kari Lloyd-Fisher, MA
Licensed Marriage Family Therapist
CA License MFC 42869
Offices in Davis & Sacramento