Important Forms

 

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

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Intake forms for individual therapy

Download
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Intake forms for couples therapy

Download
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Hypnosis consent

 

Download

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

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Authorization to Disclose Information
Download

Tracey Harvey, PhD

Licensed Marriage & Family Therapist

 310-804-0879

Beverly Hills, CA 90211

[email protected]

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